矢状窦旁脑膜瘤的显微外科治疗  

Microsurgical treatment of parasagittal meningiomas

作　　者：付洛安[1] 章翔[1] 费舟[1] 张剑宁[1] 刘卫平[1] 顾建文[1] 宋少军[1] 陈义军[1] 

机构地区：[1]第四军医大学西京医院全军神经外科研究所,陕西西安710033

出　　处：《第四军医大学学报》2000年第9期1073-1075,共3页Journal of the Fourth Military Medical University

基　　金：国家自然科学基金! (39970 75 2 )

摘　　要：目的　提高矢状窦旁脑膜瘤的手术治疗效果 .方法　回顾性总结分析 15 2例矢状窦旁脑膜瘤的临床表现、诊断方式、显微手术及其疗效 .结果　肿瘤全手术切除 12 3例(81.0 % ) ,次全切除 2 4例 (16 .0 % ) ,5例 (3.0 % )于术后 3wk内死亡 .长期随访 (平均 5 .6 a) 131例 ,其中 117例 (89.0 % )恢复良好 ,9例 (7.0 % )肿瘤复发 ,需行再次手术 .结论　显微外科技术治疗矢状窦旁脑膜瘤 ,是一种安全。AIM To improve the diagnostic level and surgical curative effects of parasagittal meningioma. METHODS A retrospective review of 152 patients with parasagittal meningioma was conducted including the clinical manifestations, diagnostic modes, microsurgery and outcomes. RESULTS Total removal was achieved in 123 cases (81.0%) and subtotal removal in 24 cases (16.0%). Five patients died (3.0%) from cerebral edema, cerebral hemorrhage, lung infection or heart failure within three weeks postoperatively. Long term follow up review (mean 5.6 years) in 131 patients revealed good recovery of 117 patients (89.0%) and the tumors were recurrent in 9 cases (7.0%). CONCLUSION The microsurgical technique of removing parasagittal meningioma is a safe and effective method.

关 键 词：矢状窦旁脑膜瘤 显微外科治疗 

分 类 号：R739.450.5[医药卫生—肿瘤] R730.56[医药卫生—临床医学]