矢状窦旁脑膜瘤显微手术40例临床分析

目的探讨矢状窦旁脑膜瘤的显微手术方法及临床疗效。方法回顾性分析采用显微手术治疗的40例矢状窦旁脑膜瘤患者的临床资料。结果本组无手术死亡病例,术后DSA或MRI检查显示上矢状窦显影良好,血流通畅。术后均获随访,随访时间6个月～3年,其中35例恢复正常工作或学习,疗效满意,5例遗留有不同程度的肢体功能障碍。结论充分的术前综合性评估,选择适当的手术入路,有效控制术中出血,可提高肿瘤全切除率,减少矢状窦、中央沟静脉和重要脑功能区的损伤,减少并发症,提高患者术后的生存率和生存质量。

Clinical analysis of 40 cases for microsurgery in sagittal sinus meningioma

Objective To investigate the clinical effects and methods of microsurgery in sagittal sinus meningioma.Methods The clinical data of 40 cases for microsurgery in sagittal sinus meningioma were analyzed retrospectively.Results There was no dead case after operation,the scanning of DSA or MRI also showed well at the superior sagittal sinus with a good blood circulation.40 cases had a follow-up for half year to 3 years,there were 35 cases recovered well and could return to work or study among the 40 cases with successful and satisfied treatments.The other 5 cases got varying degrees of limbs disturbance.Conclusion Sufficient comprehensive preoperative evaluation,proper operative approach,efficient control of hemorrhage,all of these can increase the total resection rate of meningioma,decrease the lesion of longitudinal sinuses,central sulcus vein and important brain active area,reduce the complication and enhance patients surviver rate after operation.