本文選題：腦膜瘤 + 矢狀竇　； 參考：《中國全科醫(yī)學(xué)》2017年17期

【摘要】：目的探討采用顯微手術(shù)切除矢狀竇旁及大腦鐮旁腦膜瘤的操作要點和療效。方法回顧性分析2008年1月—2015年5月山東省醫(yī)學(xué)科學(xué)院附屬醫(yī)院神經(jīng)外科收治的46例矢狀竇旁及大腦鐮旁腦膜瘤患者的臨床資料,其中矢狀竇和大腦鐮前1/3段腫瘤13例、中1/3段腫瘤29例、后1/3段腫瘤4例;腫瘤基底位于矢狀竇16例,大腦鐮22例,矢狀竇和大腦鐮同時受累8例。46例患者均行顯微手術(shù)治療。結(jié)果按Simpson腦膜瘤切除分級標(biāo)準(zhǔn):Ⅰ級32例,Ⅱ級9例,Ⅲ級4例,Ⅳ級1例。病理分型:內(nèi)皮細(xì)胞型20例,纖維型12例,砂粒型6例,血管型4例,混合型2例,不典型性2例。無手術(shù)死亡患者;16例術(shù)前肌力減退者中,14例術(shù)后肌力改善,1例術(shù)后偏癱加重,1例無變化。41例隨訪1~8年,9例癲癇患者中癲癇未再發(fā)作6例,腫瘤復(fù)發(fā)3例,行放療2例,再次手術(shù)1例。結(jié)論完善術(shù)前影像學(xué)檢查,設(shè)計手術(shù)入路及術(shù)中策略,控制出血,保護和處理矢狀竇和引流靜脈及功能區(qū)腦皮質(zhì),是提高矢狀竇旁及大腦鐮旁腦膜瘤手術(shù)療效的重要因素。
[Abstract]:Objective to study the operative points and curative effect of microsurgical resection of parafilar and paraspinal meningiomas of the sagittal sinus. Methods from January 2008 to May 2015, the clinical data of 46 patients with para-sagittal sinus and paraspinal meningioma, including 13 cases of sagittal sinus and 1 / 3 segment of cerebral falx, were retrospectively analyzed in the neurosurgery department of affiliated Hospital of Shandong Academy of Medical Sciences. 29 cases of middle 1 / 3 segment tumors, 4 cases of posterior 1 / 3 segment tumors, 16 cases of tumor base located in sagittal sinus, 22 cases of cerebral falx, 8 cases of sagittal sinus and 8 cases of cerebral falx were treated by microsurgery. Results according to Simpson's criteria of meningioma resection, 32 cases were grade 鈪，

本文編號：1984357