论文部分内容阅读
目的探讨超选择栓塞联合显微手术切除颅内脑膜瘤的临床应用价值。方法首先对脑膜瘤行肿瘤供血动脉及血管床超选择栓塞术,栓塞后7～14d行手术切除结果术中出血少于500ml的37例,在500-1000ml之间的29例,超过1000ml的15例;肿瘤切除达到SimpsonⅠ级59例,Ⅱ级16例,Ⅲ级6例;术后完全恢复45例,症状改善21例,偏瘫13例,死亡2例。结论术前超选择栓塞联合显微手术对全切除颅内脑膜瘤、保全邻近的重要神经血管、改善患者预后及术后生存质量具有重要意义。
Objective To investigate the clinical value of superselective embolization combined with microsurgery in the treatment of intracranial meningiomas. Methods Thirty-five patients with meningiomas undergoing selective superselective embolization of tumor-supplying artery and vascular bed and 37 to 14 days after embolization were enrolled in this study. Of the 37 patients who had less than 500 mL intraoperative bleeding, 29 patients between 500-1000 ml and 15 For example, 59 cases of grade Simpson Ⅰ, 16 cases of grade Ⅱ and 6 cases of grade Ⅲ were resected; 45 cases recovered completely, 21 cases improved symptoms, 13 cases were hemiplegia and 2 died. Conclusion Preoperative superselective embolization combined with microsurgery is of great significance for total resection of intracranial meningioma, preservation of important neurovascular adjacent and improvement of prognosis and postoperative quality of life.