摘要
目的：探讨显微手术治疗矢状窦旁脑膜瘤（Parasagittal meningiomas,PSM）的方法和疗效。方法：回顾性分析自2003年3月-2007年3月显微手术治疗的46例矢状窦旁脑膜瘤。结果：SimpsonⅠ级切除28例（60.9%）,Ⅱ级切除15例（32.6%）,Ⅲ级切除3例（6.5%）。术后随访6-48个月,平均18个月,无手术死亡,无复发。结论：利用显微外科手术技术,并妥善处理好上矢状窦及避免脑皮质引流静脉的损伤,力争全切肿瘤,术后配合γ刀治疗,可提高矢状窦旁脑膜瘤的手术疗效。
Objective：To investigate the methods of microsurgical treatment and operative effects of parasagittal meningiomas.Methods：A retrospective analysis of 46 cases with parasagittal meningiomas treated microsurgically from 2003.3 to 2007.3 was performed.Results：According to Simpson classification,32 cases were SimpsonⅠresection（60.9%）,11 cases SimpsonⅡ（32.6%）,and 3 cases Simpson Ⅲ（6.5%）.with a follow-up of of 6～48momths（mean 18 months）,No death and recurrence were revealed.Conclusion：Dealing with the superior sagittal sinus and avoiding the damage of cortical veins,microsurgical techniques was used to remove the tumors completely and with adjunctive γ-knife therapy after operation was an effective method to improve the surgical efficency.
出处
《华西医学》
CAS
2008年第3期452-454,共3页
West China Medical Journal
