颅内巨大脑膜瘤的外科治疗及并发症的防治

Surgical treatment of giant intracranial meningiomas and prevention of complications

目的 总结颅内巨大脑膜瘤的手术技巧及术后并发症的防治经验.方法 回顾性分析32例巨大脑膜瘤患者的临床资料,分析术后出现各种并发症的原因,总结经验教训.结果 本组病例脑膜瘤SimpsonⅠ级切除16例,Ⅱ级切除9例,Ⅲ级切除5例,Ⅳ级切除2例.术后并发症：贫血14例,颅内出血2例,严重脑水肿4例,癫痫3例,脑梗死2例,经治疗后恢复良好.结论 良好的手术技巧、对手术并发症的提前预防、尽早诊断和处理能明显改善患者的预后.

Objective To summarize the experience of surgical techniques and prevention of postoperative complications of giant intracranial meningiomas.Methods The clinical data of 32 patients with giant intracranial meningiomas were analyzed retrospectively.The cause of operative complications was analyzed and the experience was summarized.Results The meningiomas Simpson grade Ⅰ resection was 16 is.cases,grade Ⅱ resection was 9 cases,grade Ⅲ resection was 5 cases,grade Ⅳ resection was 2 cases.The postoperative complications included anemia was 14 cases,intracranial hemorrhage was 2 cases,severe cerebral edema was 4 cases,epilepsy was 3 cases,cerebral infarction was 2 cases,and recovered well after treatment.Conclusion Good surgical technique,advanced prevention of surgical complications,early diagnosis and treatment can significantly improve the prognosis.