窦旁脑膜瘤的手术策略

目的：探讨窦旁脑膜瘤临床特点及其治疗策略。方法回顾分析经显微手术治疗的窦旁脑膜瘤16例临床资料、影像学资料、手术方法及预后。结果按Simpson脑膜瘤切除分级标准，该组Ⅰ级切除11例,Ⅱ级切除5例，无手术死亡患者。术后出血再次手术1例，术后出现对侧肢体肌力下降2例，1个月后肌力恢复约4级。结论窦旁脑膜瘤周围血管丰富，易出现再灌注损伤，出血、梗死常见，术中采用显微外科技术，妥善保护重要血管，控制术中出血，术后及时复查头颅CT，有利于减少并发症、提高患者术后生存质量。

Microsurgical Treatment for Sinnus Meningiomas

Objective To investigate the clinical features and microsurgical approaches of sinnus meningiomas. Methods The clin-ical data, imaging data, operation methods and prognosis of 16 cases of sinnus meningiomas treated by microsurgery were analyzed retrospectively. Results Simpson Grade I resection was achieved in 11 cases,Grade II in 5 cases and no patient died after surgery. Bleeding occurred in 1 case after surgery and the second operation was performed. Weakness and paralysis of contralateral lower extremities occurred in 2 cases. Muscle strength of the cases with paralysis of contralateral extremity recovered to grade Ⅳ 1 month later. Conclusion As sinus meningiomas having blood vessels in plenty, reperfusion damage, bleeding and cerebral infarc-tion easily occurred after surgery. Using microsurgical technique in operation, properly protecting important blood vessels, control-ling intraoperative bleeding, postoperative timely reviewing cranial CT, help to reduce the complications and improve the life qual-ity of the patients.