接触式激光刀辅助显微手术切除矢状窦镰旁脑膜瘤的临床研究  

Clinical study of microsurgical treatment for parasagittal meningeoma by contact laser

作　　者：魏宜功[1] 王曲[1] 熊云彪[1] 王俊[1] 韩国强[1] 刘窗溪[1] 

机构地区：[1]贵州省人民医院神经外科,贵阳550002

出　　处：《临床神经外科杂志》2016年第1期63-65,共3页Journal of Clinical Neurosurgery

基　　金：贵州省科学技术厅-贵州省人民医院科技联合基金项目(黔科合LH[2014]7019号)

摘　　要：目的探讨接触式激光刀辅助显微手术切除矢状窦镰旁脑膜瘤的效果。方法收集35例经接触式激光刀辅助显微手术切除矢状窦镰旁脑膜瘤患者的临床资料,分析肿瘤的切除程度、术中出血量、保留窦壁完整程度及疗效。结果 35例患者矢状窦镰旁脑膜瘤的切除程度均达Simpson分级Ⅱ级,接触式激光刀使用过程中术野出血量平均<50 ml,均保留矢状窦窦壁的完整性,术后无神经功能缺损者。结论位于矢状窦镰旁宽基底且质硬的脑膜瘤,用接触式激光刀辅助显微手术使肿瘤切除彻底,术野出血少,矢状窦保留完整,提高手术的疗效。Objective To explore the effects of microsurgical treatment of patients with parasagittal meningeoma by contact laser. Methods The clinical data of 35 patients with parasagittal meningeoma treated by contact laser were collected. The excision degree of tumor,amount of bleeding during operation,sinus protection and clinical curative effect were analyzed. Results According to the standard of Simpson excision,all cases were achieved Ⅱ degree,the amount of bleeding was less than 50 ml during use of contact laser,the structure of sinus were protected,no deficit after operation. Conclusion The use of contact laser could improve the resection rate,lessen the bleeding in operation,protect the structure of sinus and enhance the curative effect for parasagittal meningiomas.

关 键 词：接触式激光刀 显微手术 矢状窦镰旁脑膜瘤 

分 类 号：R651.1[医药卫生—外科学]