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报告我院诊治的7例异位脑膜瘤病人。其中原发于颅外5例,与颅内病变相关者2例。恶性脑膜瘤1例,内皮型4例,沙粒体型2例。6例经鼻外进路,1例经颅面联合进路切除肿瘤、有3例病人取自体阔筋膜修补缺损的硬脑膜和眶骨膜,效果满意。6例脑膜瘤患者经10个月至15年的随访均无复发。1例恶性脑膜瘤病人术后半年复发死亡。大中着重介绍了该病的诊断方法,影像学检查的实用价值,临床分型的意义以及手术方法和缺损的修复。对脑膜瘤病灶只有彻底切除有可获得治愈。
Report of our hospital diagnosis and treatment of seven cases of ectopic meningioma patients. Including 5 cases of extracranial origin, and intracranial lesions in 2 cases. 1 case of malignant meningioma, 4 cases of endothelium, 2 cases of sand body. Six patients underwent transnasal approach and one underwent resection of the tumor via craniofacial approach. Three patients received autologous fascia to repair the defect of the dura and periorbital periosteum with satisfactory results. Six patients with meningioma had no recurrence after 10 months to 15 years of follow-up. One case of malignant meningioma died of recurrence six months after operation. Dazhong focuses on the diagnosis of the disease, the practical value of imaging examination, the significance of clinical classification and surgical methods and defect repair. Only complete removal of meningioma lesions can be cured.