[1]刘寿堂,李连,韦红恩,等.中央区矢状窦旁脑膜瘤的显微手术治疗[J].中国微创外科杂志,2008,08(6):541-543.
　Liu Shoutang,Li Lian,Wei Hongen,et al.Microsurgical Treatment for Parasagittal Meningiomas at the Central Cortex[J].Chinese Journal of Minimally Invasive Surgery,2008,08(6):541-543.
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中央区矢状窦旁脑膜瘤的显微手术治疗()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
08
期数:
2008年6期
页码:
541-543
栏目:
出版日期:
2008-10-31

文章信息/Info

Title:
Microsurgical Treatment for Parasagittal Meningiomas at the Central Cortex
作者:
刘寿堂; 李连; 韦红恩; 朱达
柳州市人民医院神经外科，柳州545001
Author(s):
Liu Shoutang;  Li Lian;  Wei Hongen;  et al.
Department of Neurosurgery, Liuzhou People's Hospital, Liuzhou 545001, China
关键词:
矢状窦; 脑膜瘤; 显微外科手术
Keywords:
Sagittal sinus;  Meningioma;  Microsurgery
分类号:
R739.45
文献标志码:
A
摘要:
目的探讨中央区矢状窦旁脑膜瘤手术的技巧。方法应用显微手术治疗中央区矢状窦旁脑膜瘤32例。利用肿瘤与脑组织之间的蛛网膜界面，囊内或分块切除肿瘤，注意保护中央沟静脉、其他引流静脉和正常脑组织，妥善处理受累的矢状窦。结果SimpsonⅠ级切除17例(53.1%)，Ⅱ级切除11例(34.4%)，Ⅲ级切除4例(12.5%)。无手术死亡。并发症:脑水肿及梗死2例，予手术减压；10例术后偏瘫加重，其中8例1～6周逐渐恢复，2例一侧肢体不全瘫痪。术后21例随访3个月～5年，2例Ⅱ级切除、2例Ⅲ级切除者术后1～3年复发。结论充分的术前影像学评估，采用显微外科技术切除中央区矢状窦旁脑膜瘤，处理矢状窦，避免脑皮质、中央沟静脉和其他引流静脉的损伤，是提高矢状窦旁脑膜瘤手术全切率和手术疗效的重要因素。
Abstract:
ObjectiveTo study the surgical skills for parasagittal meningioma at the central cortex.MethodsA total of 32 patients with parasagittal meningiomas at the central cortex were treated with microsurgery. Through the arachnoid interfaces between the tumor and the brain tissue, the tumor was removed piece by piece. The vein of central sulcus, other draining veins, and normal brain tissues were protected, and the involved sagittal sinus was appropriately treated.ResultsSimpson Ⅰ, Ⅱ, and Ⅲ grades resection was achieved in 17 (53.1%), 11(34.4%), and 4 (12.5%) of the 32 patients respectively. None of the patients died. Two patients developed cerebral edema and infarction and were cured by surgical decompression. Hemiparalysis was deteriorated in 10 patients, 8 of them recovered spontaneously in 1 to 6 weeks, and the other 2 developed hemiparesis. Among the patients, 21 patients were followed up for 3 months to 5 years. 4 patients had recurrent meningioma in 1 to 3 years after the operation (Ⅱ grade resection in 2 and Ⅲ grade resection in 2).ConclusionsFor parasagittal meningiomas at the central cortex, preoperation imaging evaluation and microsurgical techniques are key factors for complete resection and surgical outcomes. The vein of central sulcus, other draining veins, and normal brain tissues should be protected during the procedure.

参考文献/References:

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更新日期/Last Update: 2013-10-22