镰旁脑膜瘤的显微外科治疗65例体会

目的探讨镰旁脑膜瘤的显微外科治疗方法,提高镰旁脑膜瘤的治疗效果。方法回顾性总结分析65例镰旁脑膜瘤的临床表现、影像特征和手术入路的选择及疗效。结果肿瘤位于大脑镰前1/3的有21例,中1/3的32例,后1/3的12例。肿瘤最大径大于6cm的20例,4￣6cm的36例,小于4cm的9例。其中有19例累及大脑镰双侧。肿瘤全切除62例,大部分切除3例,无手术死亡。15例术后发生一过性偏瘫,出院时均康复。平均随访40月均无复发。结论采用显微外科技巧经不同手术入路切除镰旁脑膜瘤能提高全切除率,减少术后并发症。

Microsurgical treatment experience of 65 case of falx meningiomas

Objective To discuss the diagnosis and microsurgical treatment of 65 cases with falx meningioma. Methods The clinical and preoperative imaging characters, operative method and result of operation were respectively discussed. Results Total resection of the flax meningioma was achieved in 62 patients, subtotal resection in 3 cases, without death. 15 patients had temporary hemiplegia after surgery, but were recovered at discharge. There was no recurrence for followed-up of average 40 months. Conclusion The falx meningiomas can be totally resected and the postoperative morbidity of patients can be greatly reduced with microsurgery.