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目的探讨手术治疗前床突脑膜瘤患者的临床效果。方法回顾性分析前床突脑膜瘤患者42例,均行手术治疗,分析患者的手术治疗效果和并发症发生情况。结果 42例前床突脑膜瘤患者中,21例全部切除,11例次全切,10例部分切除;术后并发症:1例脑积水,1例脑脊液漏,2例出血,1例大面积脑梗死,1例切口感染,3例尿崩,2例视力下降,16例动眼神经损伤,4例偏瘫,1例死亡。结论术前根据前床突脑膜瘤患者的临床症状确定手术入路和判断病灶切除程度,可明显改善患者预后。
Objective To investigate the clinical effect of surgical treatment of anterior segment meningioma in patients. Methods A retrospective analysis of 42 cases of anterior segment meningioma patients were performed surgery, analysis of the surgical treatment of patients and the incidence of complications. Results Among the 42 patients with meningioma in the anterior segment of the bed, 21 cases were completely resected, 11 cases were subtotally resected and 10 cases partially resected. Postoperative complications included hydrocephalus, 1 case of cerebrospinal fluid leakage, 2 cases of bleeding and 1 case of large Area of cerebral infarction, 1 case of incisional infection, 3 cases of diabetes insipidus, 2 cases of vision loss, 16 cases of oculomotor nerve injury, 4 cases of hemiplegia, 1 case of death. Conclusion According to the clinical symptoms of anterior segment meningioma, the surgical approach and the degree of resection of the lesion can be determined preoperatively, which can significantly improve the prognosis of the patients.