显微手术治疗小脑幕脑膜瘤临床价值分析

目的 研究小脑幕脑膜瘤的治疗中应用显微手术治疗方法的临床价值.方法 小脑幕脑膜瘤病例53例,研究应用显微手术治疗的手术方法、小脑幕脑膜瘤的切除程度及治疗后疗效.分析显微手术后的小脑幕脑膜瘤患者的病死率,死亡原因.比较治疗前、治疗后Spitzer指数,评价患者生活改观情况.结果 小脑幕脑膜瘤患者在经过显微手术治疗后未出现死亡病例；小脑幕脑膜瘤患者肿瘤全切除率情况巨大肿瘤＜大肿瘤＜中型肿瘤＜小型肿瘤；治疗前Spitzer指数好9例,良好14例,治疗后好26例,良好14例,治疗前、治疗后Spitzer指数差异有统计学意义（x2=19.15,P＜0.01）.结论 显微手术治疗在针对与小脑幕脑膜瘤病例的治疗过程中有着较好的临床疗效,能够较大的改善患者的生活质量.

Clinical value of microsurgery in the treatment of tentorial meningioma

Objective To study the clinical application value of microsurgery in treatment of tentorium meningioma. Methods 53 patients with tentorium meningioma were chosen, they all underwent mierosurgical treatment, the extent of resection of the tentorium meningioma and treatment efficacy were observed. The mortality, causes of death of tentorium meningioma patients after microsurgery were analyzed. Spitzer index was compared before and after treatment,the life quality of the patients was evaluated. Results There was no death after microsurgical treatment. The tentorium meningioma tumor removal rate was huge tumor 〈 tumors 〈 medium-sized tumors 〈 small tumor. There were 9 cases excellent, 14 cases good in Spitzer index before treatment,26 cases excellent, 14 cases good after treatment, there was significant difference between them（ X2 = 19.15,P 〈 0.01 ）. Conclusion Microsurgical treatment for the patients with tentorium meningioma has better clinical efficacy and can greatly improve patients＇ quality of life, which is worthy of further clinical research and promotion.