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目的总结分析脑膜瘤的手术入路及如何提高全切率,降低手术死残率,改善手术效果。方法回顾性分析60例脑膜瘤病例,采用翼点入路、经额下入路等不同手术入路行显微外科手术治疗。结果术后恢复良好44例(73.3%),好转10例(16.7%),术后新增颅神经损伤4例(6.7%),死亡2例(3.3%),结论根据肿瘤的大小和部位,选择恰当的手术入路,熟悉显微神经解剖关系,熟练应用手术技巧能够提高肿瘤的全切率、降低手术死残率。
Objective To summarize and analyze the surgical approach of meningiomas and how to improve the rate of total incision, reduce the rate of surgical incapacity and improve the effect of operation. Methods Sixty cases of meningiomas were retrospectively analyzed. Microsurgery was performed using pterional approach and transabdominal approach under different surgical approaches. Results Postoperative recovery was good in 44 cases (73.3%), improvement in 10 cases (16.7%), postoperative cranial nerve injury in 4 cases (6.7%) and death in 2 cases (3.3%). Conclusion According to the tumor size and location, Select the appropriate surgical approach, familiar with the anatomy of the micro-nerves, skillful use of surgical techniques can improve the rate of tumor-cutting and reduce the rate of surgical residual.