CAJ | 학술논문

目的探讨中央回区附近脑膜瘤的显微手术方法及治疗效果.方法应用显微手术治疗中央回区矢状窦旁、大脑镰旁脑膜瘤71例,术中注意保护中央沟静脉、代偿回流静脉,妥善处理受累的矢状窦.结果 SimpsonⅠ级切除45例,Ⅱ级切除17例,近全切除9例,术后出现偏瘫5例,无手术死亡病例.42例随访1～5年,未见复发.结论手术过程中以保护中央区皮层功能为总原则,同时注意保护中央沟静脉及失状窦,有利于减少脑重要功能区的损失,改善患者预后.
목적 탐토중앙회구부근뇌막류적현미수술방법급치료효과.방법 응용현미수술치료중앙회구시상두방、대뇌렴방뇌막류71례,술중주의보호중앙구정맥、대상회류정맥,타선처리수루적시상두.결과 SimpsonⅠ급절제45례,Ⅱ급절제17례,근전절제9례,술후출현편탄5례,무수술사망병례.42례수방1～5년,미견복발.결론 수술과정중이보호중앙구피층공능위총원칙,동시주의보호중앙구정맥급실상두,유리우감소뇌중요공능구적손실,개선환자예후.
Objective To discuss the efficacy of microsurgery in meningioma around central gyrus region. Methods Seventy-one patients with parasagittal and parafalcine meningioma around central gyrus region were treated with microsurgery technique. Special attention was paid on the vein of central sulcus and other compensative venous pathways to protect them from being damaged; the affected sagittal sinuses were duly handled. Results Simpson grade Ⅰ resection was achieved in 45 patients (63.4%) ,grade Ⅱ in 17 (23.9%), near total resection in 9 (12.7%), and hemiparalysis happening in 5patients, and no patient died. Fourty-two patients was followed up for 1 to 5 years without recurrence.Conclusion choosing the strategy of preserving the function of central gyrus region and improving the microsurgical technique in treating meningioma around central gyrus region can decrease the injuries to significancant domain of the brain.