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目的探讨矢状窦旁及大脑镰旁脑膜瘤的显微外科手术方法及临床效果。方法采用手术显微镜直视下肿瘤囊内切除矢状窦旁及大脑镰旁脑膜瘤23例。结果21例获手术全切除,2例双侧巨大镰旁及窦旁脑膜瘤因患者年龄大,一般情况差,不能耐受长时间手术,先行一侧肿瘤全切除,另一侧肿瘤行二期手术切除,无手术死亡。术后随访平均22个月,除1例患者家属不同意二期手术外,其余病例均恢复正常生活,未见肿瘤复发。结论选择适当的手术入路和显微外科技术及方法,可最大限度地减轻对脑和血管的损伤,避免手术死亡,提高临床效果。
Objective To investigate microsurgical methods and clinical effects of paracentesis and falx paraneoplastic meningioma in the brain. Methods Twenty - three cases of paracentesis and parakeratoid meningiomas were excised under the microscope with a surgical microscope. Results Totally 21 cases were surgically removed. Two cases of giant falx and sinus meningiomas were older, poor in general condition, unable to tolerate long-term surgery, complete excision of the tumor on the first side and operation of the second stage on the other side Excision, no surgical death. All cases were followed up for an average of 22 months. Except for one case, the family members did not agree with the second phase of operation, the rest of the cases returned to normal and no tumor recurrence was found. Conclusion Choosing the appropriate surgical approach and microsurgical techniques and methods can minimize the damage to the brain and blood vessels, avoid surgical death, and improve clinical outcomes.