大脑镰旁脑膜瘤的显微外科治疗  

Microcurgical tretment of falx meningioma

作　　者：杨友忠[1] 陈新生[1] 施正生[1] 查正江[1] 毛以成[1] 方晖[1] 王俊[1] 赵鹏[1] 

机构地区：[1]安庆市立医院神经外科,246003

出　　处：《安徽医学》2010年第7期744-745,共2页Anhui Medical Journal

摘　　要：目的探讨大脑镰旁脑膜瘤的手术方法和治疗效果。方法对手术治疗的22例大脑镰旁脑膜瘤患者的影像学资料、手术入路、显微手术切除肿瘤的方法及策略进行回顾性分析。结果按Simpson切除标准,Ⅰ级切除6例,Ⅱ级切除12例,Ⅲ级切除2例,Ⅳ级切除2例。随访1～2年,2例复发,无死亡病例。结论术前影像学评估,选择合适的手术入路和细致的显微操作,能明显提高肿瘤的全切除率,降低复发率和其他并发症发生。Objective To discuss the diagnosis and microsurgical treatment of falx meningioma.Methods The clinical data of 22 patients with falx meningiomas from 2005 January to 2009 December were analyzed retrospectively.Results With reference to Simpson＇s meningioma classification,6 patients achieved simpson grade I resection,12 cases grade II resection.2 cases grade III and 2 cases grade IV.There was no death due to operation and 2cases recurrence were found during 1 to 2 years followed up.Conclusion Carefully evaluation by imagcology before operation,appropriate approach and microsurgical technique can obviously increase tumor toatal removal rate and avoid recurrence and other complications.

关 键 词：镰旁脑膜瘤 显微外科手术 

分 类 号：R739.45[医药卫生—肿瘤]