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目的报道应用显微外科手术治疗大脑镰旁大型脑膜瘤的临床效果。方法根据大脑镰旁脑膜瘤的位置选择手术入路,应用显微手术切除大脑镰旁大型脑膜瘤136例。结果手术切除按Simpson分级,Ⅰ级98例,Ⅱ级35例,Ⅲ级3例,无手术死亡。随访7～42个月,实访113例,其中98例基本康复,10例生活基本自理,1例生活不能自理,4例死于其他疾病;复发1例,再次予手术切除,无再次复发。结论应用显微外科手术,可以提高大型镰旁脑膜瘤的治疗效果。
Objective To report the clinical effect of microsurgical treatment of large-scale meningioma in falx. Methods According to the location of falx paraneoplastic meningioma, 136 cases were selected for microsurgical removal of meningioma of the falx. Results According to Simpson classification, 98 cases were grade Ⅰ, 35 cases were grade Ⅱ and 3 cases were grade Ⅲ. There was no operative death. During the follow-up of 7 to 42 months, 113 cases were interviewed, of which 98 cases were basically recovered, 10 cases were basically self-employed, 1 case was unable to take care of themselves and 4 died of other diseases. One case was relapsed and was resected again without recurrence. Conclusion The application of microsurgery can improve the treatment of large falx paracentesis.