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目的探讨各部位脑膜瘤影像学诊断和显微手术治疗等问题。方法回顾分析124例经手术和病理证实的脑膜瘤病例的诊断和治疗情况。结果单纯CAG确诊74%,CT确诊94%,肉眼全切除术(Ⅰ~Ⅲ级)病死率为1220%,显微全切除术(Ⅰ~Ⅲ级)病死率为27%。结论CT虽然提高了脑膜瘤的诊断率,但CAG仍然是不可缺少的一项检查;对于巨大和险要部位的脑膜瘤,显微切除术是改善预后的重要手段
Objective To investigate the imaging diagnosis and microsurgical treatment of meningioma in various parts of the body. Methods Retrospective analysis of 124 cases of meningioma confirmed by surgery and pathology diagnosis and treatment. Results The diagnosis of CAG was 74%, CT was 94%, and the mortality was 1220% for total macroscopic resection (Ⅰ ~ Ⅲ grade). The mortality rate of microscopic resection (Ⅰ ~ Ⅲ grade) was 2.7%. Conclusions Although CT improves the diagnosis rate of meningiomas, CAG is still an indispensable examination. For meningioma of huge and important parts, micro-resection is an important means to improve prognosis