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目的探讨显微手术切除小脑幕跨幕巨大脑膜瘤的临床效果。方法回顾分析了上海交通大学医学院附属第九人民医院2007年9月至2009年3月收治经手术和病理证实的后颅窝小脑幕脑膜瘤24例,其中12例采用改良颞下-经小脑幕入路显微手术切除,另外12例采用改良扩大翼点入路切除术。结果Ⅰ级切除6例,Ⅱ级16例,Ⅲ级2例,两组切除程度相比无显著性差异(P>0.05)。两组随访结果都比较好(P>0.05)。结论显微手术切除小脑幕跨幕巨大脑膜瘤效果好,安全性强,值得临床推广。
Objective To investigate the clinical effect of microsurgical removal of giant cerebrum meningioma. Methods A retrospective analysis of the Shanghai Jiao Tong University Affiliated Ninth People’s Hospital from September 2007 to March 2009 were treated by surgery and pathology confirmed 24 cases of posterior fossa cerebellum meningiomas, of which 12 cases of modified inferior temporal-cerebellar Subtotal microsurgical resection, and the other 12 cases with modified expanded pterional approach resection. Results Grade Ⅰ resection in 6 cases, grade Ⅱ in 16 cases, grade Ⅲ in 2 cases, there was no significant difference between the two groups (P> 0.05). The follow-up results of both groups were better (P> 0.05). Conclusion Microsurgical resection of cerebellar mammoth giant meningioma effect is good, safe, it is worth clinical promotion.