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目的:探讨大型、巨大型岩斜区脑膜瘤的手术效果,以提高和改善预后。方法:回顾性分析新疆医科大学第一附属医院神经外科2000年1月-2011年6月显微手术切除的32例岩斜区脑膜瘤的临床资料。结果:32例岩斜区脑膜瘤,肿瘤全切除12例,次全切除12例,大部分切除8例。全切除术后的近期和远期并发症最高(P<0.05),而次全切除与大部分切除相比,其术后的近期和远期并发症差异比较无统计学意义(P>0.05)。结论:对于大型、巨大型岩斜区脑膜瘤,次全切除是一个合理的手术策略。
Objective: To investigate the surgical effect of large and huge petroclival meningioma in order to improve and improve the prognosis. Methods: The clinical data of 32 cases of petroclival meningiomas underwent microsurgical resection from January 2000 to June 2011 in Department of Neurosurgery, the First Affiliated Hospital of Xinjiang Medical University were retrospectively analyzed. Results: Thirty-two cases of petroclival meningiomas were resected in 12 cases, subtotal resection in 12 cases and resection in 8 cases. There was no significant difference in short-term and long-term complication after subtotal resection compared with most resections (P> 0.05) . Conclusion: Subtotal resection is a reasonable surgical strategy for meningioma in large and huge petroclival region.