论文部分内容阅读
目的探讨矢状窦旁脑膜瘤显微手术治疗的方法和效果。方法对本院2005年5月—2010年5月收治的36例矢状窦旁脑膜瘤患者的影像学资料、手术入路、显微手术方法进行回顾性分析。结果按Simp-son切除分级标准Ⅰ级切除22例(61.1%),Ⅱ级切除12例(33.3%),Ⅲ级切除2例(5.6%),术后随访6～24个月,SimpsonⅢ级切除者1例复发,再次手术后恢复良好,无手术死亡病例。结论应用显微手术,保护引流静脉,正确处理矢状窦是治疗矢状窦旁脑膜瘤的最好方法。
Objective To investigate the method and effect of microsurgical treatment of parasagittal meningioma. Methods A retrospective analysis was performed on the imaging data, surgical approach and microsurgical techniques of 36 cases of sagittal sinus meningioma treated in our hospital from May 2005 to May 2010. Results According to Simpson sonography, 22 cases (61.1%) were resected in grade Ⅰ, 12 cases (33.3%) in grade Ⅱ and 2 cases (5.6%) in grade Ⅲ. The patients were followed up for 6-24 months. Simpson Ⅲ grade resection One case of recurrence, again after surgery recovered well, no surgical deaths. Conclusions Microsurgical treatment is the best way to treat sagittal sinus meningiomas by protecting the drainage veins and correctly treating the sagittal sinus.