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目的:提高中央回区脑膜瘤的手术效果。方法:应用显微手术切除中央回区脑膜瘤16例,术前均行CT、MRI、DSA检查,了解肿瘤的血供、脑膜瘤与中央沟静脉的位置关系及瘤周静脉回流情况。术中尽量不牵拉脑组织,显微镜下囊内分块切除肿瘤,直至全切肿瘤;注意保护中央沟静脉、其他代偿回流静脉。结果:肿瘤全切除16例,无手术死亡,术后原有功能障碍均有显著改善。结论:显微手术切除中央回区脑膜瘤可提高手术疗效,减少脑重要功能区的损伤,减少并发症,提高患者术后生存质量。
Objective: To improve the central meningioma back to the surgical results. Methods: Sixteen patients with central meningioma were removed by microsurgical operation. The CT, MRI and DSA were performed before operation to find out the relationship between the blood supply of the tumor, the location of the meningioma and the central sulcus vein and the circulation of the tumor. Intraoperative try not to pull the brain tissue, the tumor under the microscope sub-block, until the total cut tumor; attention to protect the central ditch vein, other compensatory reflux veins. Results: Totally 16 cases had complete resection of the tumor without any death and the original dysfunction was significantly improved. Conclusion: Microsurgical resection of central meningiomas can improve the curative effect, reduce the damage of important functional areas of the brain, reduce the complications and improve the postoperative quality of life.