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在处理部分累及上矢状窦的矢旁脑膜瘤时,如不把侵入窦壁部分的肿瘤完全切除,常常可导致复发.切除功能窦可以增加死亡率和病残率.近来Bonnal和Brotchi报道了完全切除贴近窦中1/3的矢旁脑膜瘤的窦内部分之后、修补矢状窦的技术,有关窦的外伤性损伤用自身静脉移植修补,Donaghy等推荐二期手术修补,第一步是立即植入“T”形管以便窦造影、抽吸血凝块、和迅速恢复血流;第二步以衬有血管内膜之移植片取代“T”形管.Kapp等介绍通过硬膜窦的创口按置一根硅管以提供窦内分流.本文介绍一例因矢旁脑膜瘤侵及上矢状窦后
In the treatment of sagittal meningioma involving the superior sagittal sinus, a complete resection of the tumor that invades the wall of the sinus can often lead to recurrence. Removal of the functional sinus can increase mortality and morbidity. Bonnal and Brotchi reported recently. After completely resecting the sagittal sinus technique, which is attached to the 1/3 of the sagittal meningioma in the sinus, the traumatic injuries related to the sinus are repaired with autologous vein grafts. Donaghy et al. recommend secondary surgical repair. The first step is to Immediately implanted with a “T” shaped tube for sinus angiography, blood clots, and rapid blood flow restoration; the second step replaces the “T” tube with a stent graft lined with endovascular membranes. Kapp et al. A silicon tube is placed through the wound of the dural sinus to provide an intrasinusal shunt. This article describes a case where a sagittal meningioma invades the superior sagittal sinus.