显微外科治疗皮质中央区脑膜瘤24例疗效分析

目的:探讨皮质中央区脑膜瘤显微外科手术疗效。方法:对采用显微技术切除并经病理证实的24例皮质中央区脑膜瘤患者的临床资料进行回顾性分析。结果:SimpsonⅠ级切除11例,Ⅱ级切除12例,Ⅲ级切除1例;无手术死亡。随访3个月至8年,SimpsonⅠ级切除无复发;SimpsonⅡ级切除2例复发,行二次手术;SimpsonⅢ级切除1例随访期内肿瘤无明显増大。结论:采用显微手术切除皮质中央区脑膜瘤可提高肿瘤全切除率,减少脑重要功能区的损伤及并发症,提高患者术后生存质量。

Microsurgical treatment of meningiomas in the middle cortex area:analysis of 24 cases

Objective：To improve the curative effect of microsurgery in treatment of patients with meningiomas in the middle cortex areas.Methods：The clinical data of 24 cases of meningiomas in the middle cortex areas which had been confirmed by surgery and pathology were retrospectively analyzed.Results：Simpson grade Ⅰresection was achieved in 11 cases,grade Ⅱ in 12 cases and grade Ⅲ in 1 case.No patients died during the operation.All the cases were followed up for 3 months to 8 years.No cases with Simpson gradeⅠresection recurred,2 cases with Simpson grade Ⅱ resection relapsed and received the second operation,and the one case with Simpson grade Ⅲ resection did not have obvious change in size of the tumor during the follow-up.Conclusions：Microsurgical technique may elevate the total tumor resection rate in treatment of meningiomas in the middle cortex areas,decrease the injury in the important functional area of the brain,reduce complications and improve the patients′ life quality.