首页 | 本学科首页   官方微博 | 高级检索  
     

中央回区脑膜瘤的显微外科治疗
引用本文:李爱民,夏咏本,刘希光,李宁,颜士卫. 中央回区脑膜瘤的显微外科治疗[J]. 中华神经外科杂志, 2009, 25(8). DOI: 10.3760/cma.j.issn.1001-2346.2009.08.024
作者姓名:李爱民  夏咏本  刘希光  李宁  颜士卫
作者单位:1. 徐州医学院附属连云港医院神经外科,连云港,222002
2. 江苏省建湖县人民医院神经外科
摘    要:目的 探讨中央回区脑膜瘤的手术方法和技巧.方法 回顾性分析采用显微外科手术切除15例中央回区脑膜瘤的临床资料,其中肿瘤位于中央前回8例,中央后回5例,中央前后回均受累2例.结果 Simpson Ⅰ级切除9例,Ⅱ级切除5例,Ⅲ级切除1例.无手术死亡,术后功能障碍好转10例,无效5例,新增短期功能障碍6例;随访9-38个月,未见肿瘤复发.结论 中央回区脑膜瘤应在良好功能保护的前提下,力争达到Simpson Ⅰ级切除.准确定位、保护好功能区皮质、加强回流静脉结构和功能的维护是降低中央回区脑膜瘤手术残障率的关键.

关 键 词:中央回区  脑膜瘤  显微外科手术

Microsurgical techniques and strategies of memingiomas in central gyrus region
LI Ai-min,XIA Yong-ben,LIU Xi-guang,LI Ning,YAN Shi-wei. Microsurgical techniques and strategies of memingiomas in central gyrus region[J]. Chinese Journal of Neurosurgery, 2009, 25(8). DOI: 10.3760/cma.j.issn.1001-2346.2009.08.024
Authors:LI Ai-min  XIA Yong-ben  LIU Xi-guang  LI Ning  YAN Shi-wei
Abstract:Objective To discuss the surgical methods and techniques of meningiomas in central gyrua region.Methods A retrospective analysis was performed on 15 cases of meningiomas in central gyrus region,including tumor in precentral gyrus 8 cases,postcentral gyrus 5 cases,both anterior and posterior central gyrus 2 cases.Results According to Simpson's scale,Simpson Ⅰ,Ⅱ and Ⅲ grade removal was achieved in 9,5and 1 respectively.There was no postoperative death.After a follow-up period ranging from 9 to 38 inonths.preoperative dysfunction was improved in 10 cases,no functional improvement in 5 cases,additional short-term dysfunction in 6 cases.There was no recurred case.Conclusion The surgical treatment of meningiomas in central gyrus region should be in good function under the premise of protection,and strive to achieve Simpson Ⅰ grade excision.Both accurate localization and protection of central gyrus cortex are the keys to reduce postoperative crippling rate in cages with meningiomas in central gyrus region.
Keywords:The central gyrus region  Meningiomas  Microsurgery
本文献已被 万方数据 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号