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目的探讨矢状窦旁脑膜瘤的手术方法与技巧。方法回顾分析36例矢状窦旁脑膜瘤的影像学资料、手术入路、显微手术方法。结果36例肿瘤全切除,其中28例Simpson Ⅰ级切除,6例S impsonⅡ级切除,2例SimpsonⅢ级切除。术后随访6~24个月,恢复良好,无手术死亡病例。结论在显微手术操作下,矢状窦旁脑膜瘤的手术切除程度可达Simpson Ⅰ~Ⅱ级;良好的手术暴露、有效地控制和减少术中出血、妥善处理上矢状窦,保护好中央沟静脉、避免脑重要功能区的损伤是保证手术成功、达到良好预后的关键。
Objective To investigate the surgical methods and techniques of saphenous sinus meningioma. Methods Retrospective analysis of 36 cases of parasagittal meningioma imaging information, surgical approach, microsurgical methods. Results Totally 36 tumors were resected, including 28 cases of Simpson grade Ⅰ resection, 6 cases of S impson Ⅱ grade excision and 2 cases of Simpson Ⅲ grade resection. All patients were followed up for 6-24 months and recovered well without any surgical death. Conclusions Under microsurgical operation, the surgical resection of mesiomings in the sagittal sinus is up to Simpson Ⅰ ~ Ⅱ. Good surgical exposure can effectively control and reduce intraoperative bleeding, properly handle the superior sagittal sinus and protect the central Ditch veins, to avoid damage to important functional areas of the brain is to ensure the success of surgery to achieve a good prognosis of the key.