摘要
目的：探讨上矢状窦旁脑膜瘤的手术注意事项。方法：对我科5年来经显微外科手术治疗55例矢状窦旁脑膜瘤的临床资料、术后并发症、病人的预后等进行回顾性分析和整理。结果：本组病例全部采用显微手术治疗，手术全切51例（92．7％），其中SimpsonⅠ级切除30例（54．5％），Simpson Ⅱ级切除21例（38．2％），SimpsonⅣ级切除4例（7．3％）。因手术造成的永久性肢体偏瘫3例，明显脑肿胀3例，颅内血肿1例。术后KPS评分100～90分的44例，80分的5例，70-40分的6例。结论：术中首先处理肿瘤基底部以及对引流静脉及功能区的保护是提高矢状窦旁脑膜瘤治疗水平的关键。
Objective：To investigate the precautions in microsurgical treatment of parasagittal meningiomas. Methods： Retrospective analysis was per- formed in 55 eases with parasagittal meningiomas received treatment in our department in the past five years regarding the demogTaphie data, postoperative complications and the prognosis. Results：All patients were treated with microsurgery, and 51 （92.7%） underwent total resection. Extent of surgery by Simpson criteria,30（54.5% ） were reseeted by grade I ,21 （38.2%） by grade 11 and 4（7.3% ） by grade IV. Permanent hemiplesia occurred in 3 due to surgical procedure. Three cases were complicated with evident postoperative brain swelling, and one was with intracranial hematoma. By Karnofsky per- formance score （KPS） after operation ,44 were between 100 and 90,5 in 80 and 6, from 70 to 40. Conclusion ： Successful surgery for removal of parasatig- gal menigiomas is involved in careful intra - operative management of the basal layers by the tumor and protection of the venous drainage and functional ar- eas of the brain.
出处
《皖南医学院学报》
CAS
2015年第2期147-150,共4页
Journal of Wannan Medical College
关键词
脑膜瘤
矢状窦
显微手术
引流静脉
meningioma
sagittal sinus
microsurgery
venous drainage
