顶枕部矢状窦旁、镰旁脑膜瘤的显微外科治疗  

Microsurgical treatment of the parietal-occipital region of parasagittal and parafalx meningiomas

作　　者：王年华[1] 徐立新[1] 贾若飞[1] 阙思伟[1] 冷海斌[1] 聂猛[1] 梅涛[1] 王俊[1] 钟晨[1] 盛文乾君 袁敏[1] 夏俊[1] 何俊[2] 

机构地区：[1]湖南省常德市第一人民医院神经外科,湖南常德415003 [2]中南大学湘雅医学院附属海口医院神经外科,海南海口570208

出　　处：《中国现代医学杂志》2014年第29期98-102,共5页China Journal of Modern Medicine

摘　　要：目的 探讨顶枕部矢状窦旁、镰旁脑膜瘤的显微外科技巧及疗效。方法 回顾性分析该院2008年1月-2013年5月36例顶枕部矢状窦旁、镰旁脑膜瘤手术患者临床资料。结果 按照Simpson切除分级标准,其中Ⅰ级切除30例,Ⅱ级切除5例,Ⅲ级切除1例,无手术死亡病例。随访6个月～5年,无复发病例。结论 运用娴熟的显微外科技术,充分暴露,有效控制出血,保护脑皮质及皮质引流静脉,妥善处理上矢状窦及大脑镰,可明显提高顶枕部矢状窦旁、镰旁脑膜瘤的全切率,减少并发症。【Objective】 To investigate the microsurgical techniques for the parietal-occipital region of parasagittal and parafalx meningiomas and its curative effect on them. 【Methods】 The clinical data of 36 patients with parasagittal and parafalx meningiomas, who underwent microsurgery in our hospital from January2008 to May 2013, were analyzed retrospectively. 【Results】 According to Simpson classification of meningioma resection, of the 36 patients, Simpson grade Ⅰ in 30 cases, grade Ⅱ in 5 cases and grade Ⅲ in 1cases. In all cases, no operation death. During the follow-up period from 6 months to 5 years, no tumor recurred. 【Conclusion】 The skillful microsurgical technique, complete surgical exposure, efficient management of operative bleeding, good protection of cerebral cortex and the veins of central sulcus, and replacement the sagittal sinus and cerebral falx can significantly increase the rate of total removal of the tumors, and decrease the postoperative complications.

关 键 词：窦旁/镰旁脑膜瘤 显微外科 治疗效果 

分 类 号：R739.41[医药卫生—肿瘤]