囊性脑膜瘤临床探讨

The clinical treatment of cystic meningioma and discussion

目的对囊性脑膜瘤的临床特点进行探讨。方法2004年4月～2006年4月收治的10例颅内囊性脑膜瘤的临床分析。结果4例患者肿瘤全切除3例,次全切除1例,无手术死亡。结论脑膜瘤由于急性囊变,引起严重的临床症状,易误诊为其它性质的病变。MRI对诊断囊性脑膜瘤很有价值,但不能明确分型。囊性脑膜瘤手术时,在不损伤神经功能区的前提下,不仅切除肿瘤结节,还应彻底切除囊壁以防止复发。

[ Objective ] To discuss the clinica 1 features of cystic meningioma. [ Methods ] Recalling the April 2004 to April 2006 were treated 10 cases of clinical analysis of intracranial cystic meningiomas. [Results] 4 cases of patients with total tumor resection in 3 cases, subtotal resection in 1 case, no operative mortality. [Conclusion] Cystic meningioma due to acute, causing, severe clinical symptoms are often misdiagnosed as other diseases in nature. MRI in the diagnosis of cystic meningioma valuable, but not a clear classification. Cystic meningioma surgery in the area without damage under the premise of neurological function, not only to remove the tumor nodules, but al- so the complete removal of cyst wall to prevent recurrence.