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本文报道1966年6月～1991年5月105例上矢状窦旁脑膜瘤的诊断与治疗。常见的首发症状是癫痫、头痛及局灶性定位症状。头颅平片、脑电图、CT、ECT 扫描、TCD 和脑血管造影可精确地诊断出肿瘤的部位、大小及血供情况。为了有效地控制出血,减少输血置,提高全切除率(62.8%),我们采取了手术综合措施:控制性低血压麻醉、颈外动脉系统供血的术中控制和应用冷冻摘除法,使死亡率降低为10.47%。用亚显微手术方法,保留和恢复脑功能、随访10年,57例(54.3%)已恢复正常工作能力。
This article reports 105 cases of suprachoroidal sinus meningioma from June 1966 to May 1991 in the diagnosis and treatment. Common first symptom is epilepsy, headache and focal positioning symptoms. Head plain film, EEG, CT, ECT scan, TCD and cerebral angiography can accurately diagnose the location of the tumor, size and blood supply. In order to effectively control bleeding, reduce blood transfusion and increase the total resection rate (62.8%), we adopted a comprehensive surgical approach: controlled hypotension anesthesia, intraoperative control of blood supply to the external carotid artery system, and application of cryoablation to reduce mortality Reduced to 10.47%. With sub-microsurgery, brain function was preserved and recovered. After 10 years of follow-up, 57 patients (54.3%) had returned to normal working ability.