矢状窦旁脑膜瘤的手术治疗

目的探讨矢状窦旁脑膜瘤的手术方法和技巧。方法对56例经手术治疗的矢状窦旁脑膜瘤的临床资料进行回顾性分析。探讨该病的诊断,手术方法,受累矢状窦的处理及对无法切除之残留的补充治疗。结果手术全切肿瘤48例(85.6%),其中SimpsonⅠ级切除15例(26.7%),SimpsonⅡ级切除33例(58.9%),余8例SimpsonⅢ级切除(14.4%)。术后随防6～72个月,无手术病死。结论矢状窦旁脑膜瘤的手术治疗应力争达到SimpsonⅠ级切除;良好的手术暴露,有效地控制术中出血,保护并妥善处理好上矢状窦和避免脑皮质损伤,是提高矢状窦旁脑膜瘤手术全切率与手术疗效的重要因素。

Surgical treatment of parasagittal meningiomas

Objective To discuss operative techniques of parasagittal meningiomas.Methods The date of 56 patients with parasgittal meningioma,including the diagnosis of the disease,skill of surgical manipulation management of the infiltrated sinus and supptrmentary therapy for the tumor residues were analyzed retrospectively.Results SimpsonⅠ,Ⅱand Ⅲ grade resection was achieved in 15(26.7%),33(58.9%)and 8(14.4%) of the 56 patients in this series respectively.The follow-up persued from 6~72 months.There were no postoperative deaths.Conclusions Simpson I grade resection ought to be persued for parasagittal meningiomas.adequate surgical esposure,efficient management of operative bleeding,protection and replacement of the sagittal sinus,and avoidance of damage to the brain tissues and the important factors to improve the rate of surgical resection and overall outcomes in patients with parasagittal meningiomas.