| 囊性脑膜瘤的诊断和治疗 |
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| 引用本文： | 孙青芳,卞留贯,赵卫国,沈建康,丁美修,张天锡.囊性脑膜瘤的诊断和治疗[J].中国临床神经外科杂志,2003,8(3):166-168. |
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| 作者姓名： | 孙青芳 卞留贯 赵卫国 沈建康 丁美修 张天锡 |
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| 作者单位： | 1. 上海第二医科大学附属瑞金医院神经外科,上海,200025
2. 上海第二医科大学附属第九人民医院神经外科,上海,200021 |
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| 摘 要： | 目的 分析囊性脑膜瘤形成的机理、诊断及手术要点。方法 回顾性分析3例囊性脑膜瘤的临床和影像学资料，结合献讨论术前诊断、病因以及外科治疗。结果 MRI和CT常发现近硬膜的囊性病变伴或不伴囊壁强化，术中切除瘤结节及其附着的硬膜，在不损伤脑功能的情况下尽可能切除囊壁。结论 准确的术前诊断和术中病理诊断是制定外科手术策略和获得良好预后的基础。
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| 关 键 词： | 脑膜瘤 囊性 诊断 外科治疗 |
| 文章编号： | 1009-153X(2003)03-0166-03 |
| 修稿时间： | 2002年5月29日 |
Diagnosis and Treatment of Cystic Meningioma |
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| SUN Qing-fang,BIAN Liu-guan,ZHAO Wei-guo,et al..Diagnosis and Treatment of Cystic Meningioma[J].Chinese Journal of Clinical Neurosurgery,2003,8(3):166-168. |
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| Authors: | SUN Qing-fang BIAN Liu-guan ZHAO Wei-guo |
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| Institution: | SUN Qing-fang,BIAN Liu-guan,ZHAO Wei-guo,et al.Department of Neurosurgery,RuiJin Hospital,Shanghai Second Medical University,Shanghai200025,China |
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| Abstract: | Objective To explore the pathogenetic mechanism of cystic meningiomas and the keys to its diagnosis and operation.Methods The clinical and imaging data of3patients with cystic meningiomas were analyzed retrospectively and the preoperative diagnosis,etiology and surgical treatment of the cystic meningioma were discussed.Results Some of the cystic lesions close to the dura had enhancement of a cystic walls and the others did not on MRI and CT.The tumors and dura adhering to the tumors were totally removed.The cystic wall was resected as totally as possible without injury to normal brain tissue.Conclusion Accurate preoperative radiological diagnosis and intraoperative pathological examination are fundamental to the surgical strategy and prognosis in the patients with cystic meningiomas |
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| Keywords: | Cystic meningioma Diagnosis Surgery |
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