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目的：探讨脑膜瘤早期诊断和提高手术疗效的方法。 方法：对我院1983年至2000年11月收治的129例脑膜瘤的临床表现﹑病理分型﹑影像学特征及手术治疗结果等结合文献复习进行回顾性分析。 结果：行脑膜瘤全切除术86例，次全切除术20例，大部分切除术12例，部分切除术11例。治愈84例，好转28例，加重6例，无变化3例，死亡8例（6．2％），治愈及好转率为86．8％。 结论：早期诊断﹑争取完全切除脑膜瘤是提高治愈率﹑降低病死率的关键；磁共振在显示颅底脑膜瘤及肿瘤与矢状窦及颅内重要血管毗邻关系方面优于CT；体积较大﹑血运丰富的脑膜瘤必须行脑血管造影或DSA检查。
Objective: To explore the early diagnosis and treatment of meningioma and surgical methods. Methods: The clinical manifestations, pathological classification, imaging features and surgical treatment results of 129 cases of meningiomas from 1983 to 2000 in our hospital were reviewed retrospectively. Results: Totally 86 cases of meningiomas were resected, 20 cases of subtotal resection, 12 cases of partial resection and 11 cases of partial resection. 84 cases were cured, 28 cases improved, 6 cases aggravated, 3 cases unchanged, 8 cases died (6.2%), and the cure and improvement rate was 86.8%. Conclusions: Early diagnosis and complete removal of meningiomas are the key to improve the cure rate and reduce the mortality rate. MR is superior to CT in displaying the adjacent basement between skull base meningioma and tumor and sagittal sinus and important intracranial vessels. ﹑ Rich meningioma blood vessels must be angiography or DSA.