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目的观察分析显微神经外科联合术后咖玛刀治疗窦旁脑膜瘤的效果。方法选取2008-07-2014-07我院收治的41例窦旁脑膜瘤患者,行显微外科手术与咖玛刀联合治疗,对其治疗效果进行分析。结果 41例患者均成功完成手术,无一例出现脑肿胀、重度残疾等并发症,死亡患者数为0。其中SinpsonⅠ级切除10例,SinpsonⅡ级切除18例,SinpsonⅢ级切除13例,术后对SinpsonⅡ级与SinpsonⅢ级31例患者实施伽马刀治疗,术后随访12个月~5年,4例复发,复发率为12.90%,其中1例SinpsonⅡ级,3例SinpsonⅢ级。结论窦旁脑膜瘤联合使用显微神经外科手术与咖玛刀治疗具有理想效果,复发率比较低。
Objective To observe the effect of microsurgical neurosurgery combined with postoperative cauliflower on the treatment of sinusoid meningioma. Methods Totally 41 patients with sinusoid meningioma admitted to our hospital from July 2008 to July 2014 were enrolled in this study. The patients were treated with microsurgery combined with cauliflower. The therapeutic effect was analyzed. Results All the 41 patients completed the operation successfully, and no complication occurred such as brain swelling and severe disability. The number of deaths was 0. Sinpson Ⅰ level resection in 10 cases, Sinpson Ⅱ level resection in 18 cases, Sinpson Ⅲ level resection in 13 cases, postoperative Sinpson Ⅱ level and Sinpson Ⅲ level in 31 patients underwent gamma knife treatment, followed up for 12 months to 5 years, 4 cases of recurrence, The recurrence rate was 12.90%, of which 1 was Sinpson Ⅱ and 3 was Sinpson Ⅲ. Conclusions Sinus meningiomas combined with microsurgery surgery and cauliflower treatment have the ideal effect, the recurrence rate is relatively low.