巨大脑膜瘤102例显微手术治疗  

Microsurgery for giant Meningiomas (a Report of 102 Cases)

作　　者：石磊[1] 王连元[1] 卢明[1] 彭立辉[1] 向健威[1] 陈静[1] 

机构地区：[1]中国人民解放军第163医院神经外科,湖南长沙410003

出　　处：《中国临床神经外科杂志》2007年第11期655-656,659,共3页Chinese Journal of Clinical Neurosurgery

摘　　要：目的总结切除巨大脑膜瘤的显微手术经验和技巧。方法回顾性总结分析我院自1990年6月至2006年6月收治的巨大脑膜瘤102例患者的临床资料。肿瘤直径均≥7cm,其中最大者直径>14cm。结果按照脑膜瘤切除的Simpson分级标准,肿瘤Ⅰ类切除76例,Ⅱ类切除19例,Ⅲ类切除7例。结果良好80例,好转18例,死亡4例。结论术中妥善保护好矢状窦及中央沟静脉等重要结构,精巧的显微手术技巧,积极处理并发症有助于提高巨大脑膜瘤全切除率,减少病残率。Objectives To summary the experience in intreating giant meningiomas by microsurgery and the operative technique.Method The clinical data of 102 patients with the giant meningiomas （diameter≥7.0 cm） undergoing microsurgery in our department from June 1990 to June 2006 were analyzed retrospectively. Results According to Simpson grading of minigiomas resection, grade Ⅰ was achieved in 76 cases, grade Ⅱ in 19, grade Ⅲ in 7. Eighty patients recovered well, 18 were improved and 4 died. Conclusion The skillful microsurgical technique, the prompt treatment of the postoperative complications are helpful to enhancing the rate of total resection of the tumor and decreasing disabled rate.

关 键 词：脑膜瘤 巨大 显微手术 疗效 

分 类 号：R739.45[医药卫生—肿瘤] R651.11[医药卫生—临床医学]