矢状窦旁复发脑膜瘤的外科治疗  

Surgical Treatment of Recurrent Parasagittal Meningiomas

作　　者：黄星[1] 周毅[1] 敖祥生[1] 刘汉东[1] 张青松[1] 胡克琦[1] 徐廷伟[1] 

机构地区：[1]襄樊市中心医院神经外科,湖北襄樊441021

出　　处：《中国临床神经外科杂志》2004年第2期108-109,共2页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨矢状窦旁脑膜瘤复发与外科治疗关系,以期降低复发率。方法回顾性分析经外科手术治疗17例矢状窦旁复发脑膜瘤的临床资料。所有病例均行显微手术,次全切除的行γ刀治疗。结果10例全切除,7例次全切除(切除多于90%)并术后γ刀治疗,均恢复良好。随访1～7年,仅1例窦汇区恶性脑膜瘤再次复发。结论显微手术定位准确,全切程度可达SimpsonⅠ～Ⅱ级。次全切除的行放射外科治疗,可明显阻止肿瘤进一步生长。Objective To explore the correlation between the recurrence of the parasagittal meningiomas and surgical treatment. Methods A retrospective analysis was performed in 17 patients with recurrent parasagittal meningiomas who were treated in our department from March 1995 to May 2002. Results Of the 17 patients treated by microneursurgery, 10 received total resection the tumors and 7, who received γ-knife treatment after the operation, subtotal (more than 90% of the tumors resected). Following up for 1～7 years showed that all the patients recovered well after the treatment, and 1 relapsed. Conclusion By microneurosurgical technique, tumors can be found accurately and can reach simpson Ⅰ～Ⅱ resection. The growth of the tumors which is subtotally resected can be inhibited by postoperative radiosurgery treatment.

关 键 词：矢状窦旁脑膜瘤 显微神经外科 放射治疗 疗效 

分 类 号：R739.45[医药卫生—肿瘤] R651.11[医药卫生—临床医学]