后颅窝天幕脑膜瘤的手术治疗  

Operative Treatment of Posterior Fossa Tentorium Meningioma

作　　者：翟博智[1] 刘春生[1] 佟小光[1] 杨玉山[1] 

机构地区：[1]天津市脑系科中心医院神经外科,300060

出　　处：《天津医药》2002年第7期393-395,I001,共4页Tianjin Medical Journal

摘　　要：目的:探索提高后颅窝天幕脑膜瘤的治愈率,减少死亡及严重术后并发症的发生。方法:对33例后颅窝天幕脑膜瘤病人,结合术前影像学检查,选择手术入路,参照5型分类方法进行归纳和总结。结果:按Simpson脑膜瘤切除分级,本组根治性切除（Ⅰ～Ⅱ级）28例;次全切除（Ⅲ级）5例,无1例死亡,仅1例术后偏瘫。结论:充分的术前准备,正确地选择手术入路,显微手术技术的运用,合理处理残留瘤,可提高治愈率,减少复发、术后死亡及严重并发症。Objective: To elevate the cure rate and minimize the death rate and recurrence rate of posterior fossa ten-torium meningioma and the severity of postoperative complications. Methods: According to the classification of standard five types, the checkup of preoperative image and the choice of surgical approach, 33 cases of posterior fossa tentorium meningioma were analyzed. Results: With reference to Simpson's meningioma classification, 28 cases were totally removed and 5 were partially removed. No patient died from operation. Only 1 patient paralyzed after operation. Conclusion: Sufficient preoperative preparation, adequate surgical approach choice, micro-surgical technique application, neurosurgen's experience and rational residual tumor management may elevate the cure rate and minimize the death rate and recurrence rate of posterior fossa tentorium meningioma and the severity of postoperative complications.

关 键 词：后颅窝天幕脑膜瘤 显微外科手术 治疗 临床表现 CT 诊断 手术方法 

分 类 号：R739.45[医药卫生—肿瘤] R730.56[医药卫生—临床医学]