摘要
目的 总结大脑镰矢状窦旁脑膜瘤的手术经验.方法 回顾分析29例大脑镰矢状窦旁脑膜瘤的临床资料,肿瘤起源于矢状窦8例,大脑镰12例,同时累及矢状窦和大脑镰9例,采用手术切除肿瘤,同时处理受累矢状窦和大脑镰.结果 肿瘤全切除28例,大部分切除1例,无死亡病例,肿瘤复发2例(6.9%).结论 全切除和有效处理受累大脑镰和矢状窦是防止肿瘤复发的重要手段.在术中保护主要引流静脉是防止术后静脉性脑梗死和严重水肿的关键措施.
Abstract
Objective To review thc experience with removal of meningiomas in the falx eerebri and sagittal sinuses. Methods 29 cases were analyzed retrospeetively. The tumors originated in the sagittal sinus in 8. falx cerebri in 12 and involved in both the sagital sinus and falx cerebri 9. The treatment strategy was resection of the tumors by effective management of the sagittal simus and falx intraoperatively. Results Total reaction was achieved in 28cases, aud subtotal resection in 1. There was no death. The tumor recurred in 2 (6.9％). Conclusion The total tumor resection and an effective trcatment of the involved sagittal sinus and falx is an intportant way for preventing tumor recurrence. And protection of brain eloquent veins is also a key measure for prevention of cerebrai venous infarction aud brain edema.
NETL
NSTL
维普
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