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目的:探讨颅内常见部位脑膜瘤手术治疗技术。方法:系统分析近二十年来242例、258例次手术,切除267个肿瘤的临床资料,总结了大脑凸面,矢状窦旁、大脑镰、鞍结节、蝶骨嵴内侧及小脑桥脑角部位脑膜瘤手术方法与体会。结果:肿瘤全切率达88.2％,手术死亡率为7％,69％病例2～12年随访,90％病例获良好疗效,72.5％恢复工作。结论:手术是脑膜瘤治疗最根本的方法,手术原则是控制出血,保护脑功能,力争全切除肿瘤。显微手术技巧的应用有益于提高疗效,随着技术不断改进,将进一步提高病人生存质量。
Objective: To explore the surgical treatment of common intracranial meningiomas. Methods: The clinical data of 242 cases and 258 cases of resection of 267 tumors in the recent two decades were systematically analyzed. The clinical data of cerebrum convex, sagittal sinus, falx nodules, medial sphenoidal crest and pontine angle Department of Meningioma surgical methods and experience. Results: The total tumor resection rate was 88.2%. The operative mortality rate was 7%. 69% of cases were followed up for 2 to 12 years. 90% of the cases were cured and 72.5% recovered. Conclusion: Surgery is the most fundamental method for the treatment of meningioma. The principle of surgery is to control the bleeding, protect the brain function and strive to remove the tumor completely. The application of microsurgical techniques is beneficial to improve the curative effect. As technology continues to improve, the quality of patient’s life will be further improved.