皮质中央区脑膜瘤的显微手术治疗  

Microsurgery of Meningioma in middle cortex area

作　　者：刘平[1] 

机构地区：[1]湖南桃江县人民医院神经外科,桃江413400

出　　处：《河南外科学杂志》2014年第5期22-24,共3页Henan Journal of Surgery

摘　　要：目的 探讨皮质中央区脑膜瘤的手术方法和治疗效果.方法 回顾性总结经显微手术治疗的23例中央区脑膜瘤患者的临床资料.结果 按Simpson切除标准,Ⅰ级切除9例（39.1％）,Ⅱ级切除14例（60.9％）.2例患者并发颅内感染,3例发生下肢深静脉血栓,1例发生肺栓塞死亡.14例患者获随访3～26个月,2例复发再次手术,其余未见肿瘤复发.结论 充分的术前影像学检查及评估,选择适当的手术入路,采用显微手术切除皮质中央区脑膜瘤,术中保护好中央沟静脉、避免脑功能区的损伤,能明显提高肿瘤的全切除率,减少严重并发症的发生,提高患者术后生存质量.Objective To discuss the surgical procedure and treatment result of meningioma in middle cortex area. Methods A retro- spective study was performed on clinical data of 23 patients with the meningioma in the middle cortex area who received the treatment of micro- surgery. Results According to Simpson resection grade, there was 9 patients （39. 1% ） who received grade I resection and 14 patients （60. 9% ） who received grade II resection. Whereas, 2 patients had the complication of intracranial infection, 3patients had the deep venous thrombosis and 1 patient died of pulmonary embolism. During 3 - 26 months of follow - up,2patientsreceived the operation again because of the recurrence, while others had no tumor recurrence. Conclusion The fully pre - operative imaging examination and evaluation, selection of prop- er surgical approach, adoption of microsurgery for the resection of meningioma in the middle cortex area and the protection of vein in central sul- cus and avoid the injury of brain functional area can significantly improve the total resection rate of tumor, reduce the occurrence of severe com- plications and prornote the post -operative survivalqualityofpatients.

关 键 词：皮质中央区 脑膜瘤 显微手术 

分 类 号：R739.4[医药卫生—肿瘤]