论文部分内容阅读
目的:提高中央区矢状窦旁脑膜瘤的手术疗效。方法:对接受手术治疗的23例中央区矢状窦旁脑膜瘤患者的临床资料进行回顾性分析。结果:按Simpson切除标准,Ⅰ级切除18例(78.3%),Ⅱ级切除5例(21.7%)。无手术死亡。17例术后随访3个月至3年,2例复发,分别补充伽玛刀治疗及再次手术。结论:中央区矢状窦旁脑膜瘤常可被早期发现,采用显微手术切除可提高肿瘤全切除率,减少脑重要功能区的损伤及并发症,提高患者术后生存质量。
Objective: To improve the surgical treatment of parasagittal meningioma in the central area. Methods: The clinical data of 23 cases of sagittal sinusoidoma in the central area undergoing surgery were analyzed retrospectively. Results: According to Simpson resection standard, 18 cases (78.3%) were resected in grade Ⅰ and 5 cases (21.7%) in grade Ⅱ resection. No surgery died. Seventeen patients were followed up for 3 months to 3 years. Two patients relapsed and were treated with gamma knife and reoperation. CONCLUSIONS: The sagittal sinus meningioma in the central area can often be found early. Microsurgical resection can improve the total resection rate of the tumor, reduce the damage and complications of the important functional areas of the brain, and improve the quality of life after the operation.