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目的报道矢状窦旁脑膜瘤的显微手术的临床疗效。方法回顾性总结应用显微手术切除20例矢状窦旁脑膜瘤的临床资料,根据肿瘤大小、位置决定完整或分块切除,妥善处理供血动脉及受累的矢状窦,注意保护中央沟静脉。结果按Simpson切除分级标准,Ⅰ级切除11例(55%),Ⅱ级切除5例(25%),Ⅲ级切除4例(20%),无手术死亡。结论显微手术治疗矢状窦旁脑膜瘤是一种安全、有效的方法。
Objective To report the clinical effect of microsurgical treatment of parasagittal meningioma. Methods The clinical data of 20 patients with saphenous sinus meningioma resected by microsurgical operation were retrospectively reviewed. According to the size and location of the tumor, complete or partial resection was decided. The donor arteries and involved sagittal sinus were properly treated, and the central ditch vein was protected. Results According to the Simpson resection and grading standards, grade Ⅰ resection was performed in 11 cases (55%), grade Ⅱ resection in 5 cases (25%) and grade Ⅲ resection in 4 cases (20%). There was no surgical death. Conclusion Microsurgical treatment of parasagittal meningioma is a safe and effective method.