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目的通过对显微手术切除镰窦旁脑膜瘤回顾分析,总结手术治疗经验,提高矢状窦旁脑膜瘤的手术效果,改进手术方法、技巧及术后辅助治疗措施。方法对显微手术治疗21例镰窦旁脑膜瘤的临床资料回顾性分析。结果手术全切除肿瘤21例,按脑膜瘤切除Sinpson分级法:Ⅰ级切除者15例(71.43%),Ⅱ级切除者5例(23.81%),Ⅲ级切除者1例(4.76%)。术后随访1～2年,患者生活自理,均未复发。结论采用显微手术切除矢状窦旁脑膜瘤,可提高肿瘤全切除率,减少脑重要功能区的损伤,减少并发症,术后辅助治疗可改善神经功能,减少肿瘤复发,提高患者术后生存质量。应用显微外科技术切除镰窦旁脑膜瘤是一种安全、有效的方法。
Objective To retrospectively analyze the surgical treatment of parathyroid meningioma by microsurgery and summarize the experience of surgical treatment to improve the surgical outcome of mesiomucous sagittal sinus and to improve the surgical methods, techniques and postoperative adjuvant therapy. Methods Retrospective analysis of clinical data of 21 cases of parasagittal meningioma treated by microsurgery. Results Surgical resection of tumors in 21 cases, according to Sinpson meningioma resection: Ⅰ grade resection in 15 cases (71.43%), Ⅱ resection in 5 cases (23.81%), Ⅲ resection in 1 case (4.76%). Follow-up 1 to 2 years after surgery, patients with self-care, did not relapse. Conclusions Microsurgical resection of saphenous sinus meningiomas can improve the total resection rate, reduce the damage of important functional areas and reduce the complications. Postoperative adjuvant therapy can improve neurological function, reduce tumor recurrence and improve postoperative survival quality. Microsurgical removal of parathyroid meningioma is a safe and effective method.