Experience in microsurgical excision of parasagittal meningioma
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摘要:
目的 总结矢状窦旁脑膜瘤的显微手术治疗策略,减少手术的并发症和术后复发率。 方法 回顾性分析2016年1月~2017年6月间,在我院神经外科接受矢状窦贴壁分离技术切除矢状窦旁脑膜瘤的25例患者的病情资料,包括一般情况、手术方法、手术效果和术后康复情况等。 结果 共25例手术病例中,按Simpson脑膜瘤手术切除分级,Ⅰ级切除14例(56.0%),Ⅱ级切除8例(32.0%),Ⅳ级切除3例(12.0%);术后无严重术后并发症出现,平均随访16月,无肿瘤复发病例。 结论 严格遵循显微神经外科手术原则,采用矢状窦贴壁分离技术切除矢状窦旁脑膜瘤,保留引流静脉和矢状窦的完整通畅,可以达到减少术后并发症和复发率的目的。 Abstract:Objective To summarize the microsurgical treatment strategy of parasagittal meningioma, so as to reduce operative complications and postoperative recurrence rate. Methods A retrospective analysis of medical data of 25 patients underwent microsurgical excision of parasagittal meningioma with method of sagittal sinus differential attachment in our hospital from January 2016 to June 2017, including their general situation, operation method, effect of surgery and postoperative recovery, was performed. Results According to the Simpson resection standard, among those 25 cases treated with microsurgical excision, 14 cases belonged to Simpson grade I (56.0%), 8 cases Simpson grade II (32.0%), and 3 cases Simpson grade IV (12.0%). The mean follow-up time was 16 months, during which no serious postoperative complications or tumor recurrence occurred. Conclusion Surgical excision of parasagittal meningioma with method of sagittal sinus differential attachment, if strictly adhering to the principle of micro neurosurgery, can keep draining veins and sagittal sinus integral and unblocked, thus reducing operative complications and postoperative recurrence rate. -
Key words:
- sagittal sinus /
- meningioma /
- microsurgery
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