侧脑室脑膜瘤的显微外科治疗

Diagnosis and treatment of microneurosurgery for meningiomas of the lateral ventricle

目的探讨侧脑室脑膜瘤的诊断及显微外科治疗。方法回顾性分析7年间20例侧脑室脑膜瘤的手术资料。结果20例均获肿瘤全切,其中6例完整切除,14例分块切除,无手术死亡。术后发生术区血肿2例,脑室炎4例,失语2例,对侧肢体轻瘫3例。术后随访半年至5年,未见复发。结论CT、MRI是诊断侧脑室脑膜瘤最可靠的方法,血管造影可明确肿瘤的供血情况,选择合理的手术入路可达到肿瘤的全切除。

Objective To discuss the diagnosis and treatment of microneuro-surgery for meningiomas of the lateral ventricle. Methods A retrospe CT analysis was performed on 20 patients with meningomas of the lateral ventricle during a 7-year period. Results 20 cases had total tumor removal, among them 6 cases were completed removal, 14 cases were cent piece removal. There were no postoperative deaths. The follow-up period ranged from 0.5 to 7 years. All followed patients went well. Conclusion Lateral ventricular meningiomas can be diagnosed by CT or MRI and fedding vascular of tom or revealed by cerebral vascular angiography. By using the ideal approach, the tumors could be totally removed under microscope.