窦汇区脑膜瘤的手术治疗策略  

The treatment strategy of operation in torcular herophili meningiomas

作　　者：周世聪[1] 王光敏[1] 陈艳荣[1] 贾强[1] 潘增军[1] 李旭琴[2] 

机构地区：[1]山东省滨州市中心医院神经外科,251700 [2]大连市中心医院神经外科

出　　处：《中国医师进修杂志》2014年第29期52-54,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的 探讨窦汇区脑膜瘤的手术治疗策略.方法 回顾性分析16例窦汇区脑膜瘤患者的手术治疗方法及术后随访情况.结果 Simpson Ⅰ级切除9例,Ⅱ级切除5例,Ⅳ级切除2例.1例术后出现横窦的血栓形成.随访26～ 61个月,所有患者均无复发.结论 术前详细的评估,术中选择适当的入路,合理处理静脉窦粘连的肿瘤,辅以必要的放疗,可以减少窦汇区脑膜瘤的手术治疗风险和复发率.Objective To investigate the treatment strategy of operation in torcular herophili meningiomas.Methods Retrospectively analyzed the treatment strategy of operation and follow-up data of 16 cases torcular herophili meningiomas patients.Results Grade Ⅰ resection was 9 cases,grade Ⅱ resection was 5 cases,grade Ⅳ resection was 2 cases.One patient appeared transverse thrombosis in postoperative.Followed up for 26-61 months,all patients had no recurrence.Conclusion By detailed preoperative evaluation,selection of appropriate operative approach,reasonable treatment of venous sinus adhesion tumor,supplemented by the necessary radiotherapy,can reduce the risk of operation and recurrence rate to torcular herophili meningiomas.

关 键 词：脑膜瘤 手术 窦汇 

分 类 号：R739.45[医药卫生—肿瘤]