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目的:对比分析同侧和对侧纵裂入路显微外科治疗后2/3矢状窦深部大脑镰旁脑膜瘤的效果。方法:2014年5月-2015年5月我院共收治54例后2/3矢状窦深部大脑镰旁脑膜瘤患者。其中23例采用对侧纵裂入路设为研究组。另31例选择同侧纵裂入路设为对照组。分析两组的疗效。结果:研究组的显微外科手术时间比对照组长(P<0.05)。两组显微外科手术的前、后KPS评分对比均显著(P<0.05)。两组显微外科手术后的KPS评分对比不显著(P>0.05)。研究组复发率4.3%,与对照组(6.5%)对比不显著(P>0.05)。结论:同侧和对侧纵裂入路显微外科治疗均是后2/3矢状窦深部大脑镰旁脑膜瘤的有效入路治疗方式,对侧入路方式花费时间较多。
OBJECTIVE: To compare and analyze the effect of 2/3 sagittal sinus falxed meningiomas after microsurgical treatment of ipsilateral and contralateral longitudinal splits. Methods: From May 2014 to May 2015, 54 cases of deep falxed meningioma of the saphenous sinus were treated in our hospital. Among them, 23 cases were treated by contralateral longitudinal splitting as study group. The other 31 cases of ipsilateral longitudinal approach to choose as the control group. Analysis of the two groups curative effect. Results: The microsurgical operation time of the study group was longer than that of the control group (P <0.05). The KPS scores of both groups before and after microsurgery were significant (P <0.05). There was no significant difference in KPS scores between the two groups after microsurgery (P> 0.05). The recurrence rate of the study group was 4.3%, which was not significantly different from that of the control group (6.5%) (P> 0.05). CONCLUSIONS: Microsurgical treatment of ipsilateral and contralateral longitudinal splins is an effective approach to the treatment of falx meningioma in the posterior second / third sagittal sinus. The contralateral approach takes more time.