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目的探讨侧脑室内脑膜瘤的临床特点、手术技巧及显微手术治疗。方法回顾分析21例侧脑室内脑膜瘤患者,所有病例均行CT和MRI检查,9例行脑血管造影检查,均采用显微手术切除肿瘤。结果所有患者均获肿瘤全切,无手术死亡病例。结论CT和MRI检查是诊断侧脑室脑膜瘤最可靠的方法,脑血管造影可明确肿瘤的血供,选择合适的手术入路,应用显微手术切除侧脑室脑膜瘤是一种安全有效的方法。
Objective To investigate the clinical features, surgical techniques and microsurgical treatment of lateral ventricular meningiomas. Methods A retrospective analysis of 21 cases of patients with lateral meningioma in the brain, all cases underwent CT and MRI examination, cerebrovascular angiography in 9 patients were using microsurgical resection of the tumor. Results All patients were completely resected by tumor without any surgical death. Conclusions CT and MRI are the most reliable methods to diagnose ICA. Cerebral angiography can confirm the blood supply of the tumor. Choosing appropriate surgical approach, it is a safe and effective way to remove ICV by microsurgical operation.