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目的:研究显微手术在矢状窦镰旁脑膜瘤中的治疗效果。方法:选取2014年7月至2015年6月本院收治的150例矢状窦镰旁脑膜瘤患者,根据投硬币法分为观察组和对照组,每组75例。观察组采取显微手术进行治疗,对照组采用常规开颅手术方式进行治疗,比较两组患者的手术指标、手术切除率、临床疗效及并发症的发生率。结果:观察组的术中输血量、出血量均显著少于对照组(P<0.05),两组患者手术时间、手术切除程度、改善率、致残率及死亡率比较差异均无统计学意义(P>0.05)。观察组总的并发症发生率显著低于对照组(P<0.05)。结论:经显微手术治疗矢状窦镰旁脑膜瘤患者术中输血量和出血量较少,手术效果良好,安全性高。
Objective: To study the effect of microsurgical treatment in falx paratubal meningioma of sagittal sinus. Methods: From July 2014 to June 2015, 150 cases of sagittal sinus falcantal meningiomas were treated in our hospital. According to coin-coin method, the patients were divided into observation group and control group, with 75 cases in each group. The observation group was treated by microsurgery, while the control group was treated by conventional craniotomy. The surgical indexes, surgical resection rate, clinical curative effect and complication rate were compared between the two groups. Results: The intraoperative blood transfusion volume and bleeding volume in the observation group were significantly less than those in the control group (P <0.05). There was no significant difference in the operation time, surgical resection degree, improvement rate, disability rate and mortality between the two groups (P> 0.05). The total complication rate in observation group was significantly lower than that in control group (P <0.05). Conclusion: The microsurgical treatment of sagittal sinus falcantal meningioma less blood transfusion and bleeding during surgery, the effect is good, high safety.