Objective To explore the application of microsurgery in thoracic calcified meningioma.Methods Retrospectively analysed the clinical data of 25 patients with thoracic calcified meningioma.Compare the age,gender,tumor segment,maximum cross-sectional area of the tumor,whether the tumor is calcified and the degree of calcification,surgical bleeding volume,surgical time,degree of surgical resection,presence of accompanying diseases,and length of hospital stay of the selected patients.The thoracic(Japanese Orthopaedic Association)JOA score(11 points)was used to evaluate the spinal cord nerve function status of patients before surgery,at discharge,and at the last follow-up.Simpson grading was used to evaluate the degree of resection of spinal cord tumors in patients.Results All 25 patients underwent microsurgical treatment.During the operation,19 cases were found to have partial calcification of the tumor,3 cases had bone like calcification,and 3 cases had complete calcification.The operation time was(179.12±57.32)minutes,and the intraoperative blood loss was(504.00±368.32)mL.22 cases of tumors were completely resected(2 cases were Simpson grade Ⅰ,and the rest were Simpson grade Ⅱ),1 case underwent subtotal resection,and then underwent repeat surgery for resection.The postoperative pathological results were all meningiomas,accompanied by calcification.All 22 patients showed varying degrees of improvement in their symptoms after surgery.One case worsened,and preoperative symptoms disappeared after conservative and rehabilitation treatment.One patient's condition remained stable after surgery.Conclusion Microsurgery can improve surgical efficacy and reduce the incidence of postoperative neurological dysfunction in patients with calcified meningioma.
万方数据
维普
