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对60例脑膜瘤进行了临床分析。其中:大型30例,占50%;巨大型16例,占26.6%。手术分级达Ⅰ级者22例,Ⅱ级16例,无一例因手术死亡和继发颅内感染。提高脑膜瘤手术全切除率,降低死亡率的关键是早期诊断,早期治疗,其次是手术技巧。早期诊断的主要措施之一是加强对基层医疗人员专业知识的培训和提高全民普及性医学常识教育。采取的分层次分离肿瘤,分层次电凝肿瘤囊壁,部分阻断肿瘤血供,分块由内向外的切除肿瘤法,较好的解决了肿瘤全切和降低手术死亡率的关系。
Sixty cases of meningiomas were analyzed clinically. Of which: large 30 cases, accounting for 50%; huge 16 cases, accounting for 26.6%. There were 22 cases of grade Ⅰ and 16 cases of grade Ⅱ, none of them died of surgery or secondary to intracranial infection. The key to improve the total resection rate of meningioma surgery and reduce mortality is early diagnosis, early treatment, followed by surgical skills. One of the main measures in early diagnosis is to strengthen the training of professional knowledge of primary medical staff and to enhance universal education of universal medical knowledge. Taken the hierarchical separation of tumors, the level of coagulation tumor wall, partially blocking the blood supply to the tumor, the block from the inside out of the tumor, the better solution to the tumor total cut and reduce the mortality rate.