[小脑幕脑膜瘤的显微外科治疗]
[Microsurgical treatment of tentorial meningiomas].
作者信息
Lu Ming, Liu Yun-Sheng
机构信息
Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha 410008, China.
出版信息
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2008 Jul;33(7):638-41.
OBJECTIVE
To discuss microsurgery in the treatment of tentorial meningiomas to reduce the operative mortality.
METHODS
Clinical data of 32 patients were retrospectively analyzed. The operative approaches and outcomes and postoperative management of tentorial meningiomas were discussed.
RESULTS
Of the 32 patients, tumors in 27 patients(84.37%) were removed totally, and 5(15.63%) were removed subtotally. In the 5 patients whose tumors were resected subtotally, 3 patients were related to major sinus, and the other 2 related to adhering compactly to the brain stem invaded by tumors, major vessels, or cranial nerves.
CONCLUSION
Total resection can be achieved in most patients with microneurosurgical technique. Proper choice of operative approaches may raise the total removal rate and lower the operative mortality.
目的
探讨显微手术治疗小脑幕脑膜瘤以降低手术死亡率。
方法
回顾性分析32例患者的临床资料，讨论小脑幕脑膜瘤的手术入路、手术效果及术后处理。
结果
32例患者中，27例（84.37%）肿瘤全切除，5例（15.63%）次全切除。在5例次全切除肿瘤的患者中，3例与主要窦相关，另外2例与肿瘤紧密粘连侵犯脑干、主要血管或脑神经有关。
结论
大多数患者采用显微神经外科技术可实现全切除。合理选择手术入路可提高全切除率并降低手术死亡率。
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