CAJ | 학술논문

目的探讨显微外科手术治疗大脑镰旁及矢状窦旁脑膜瘤的临床疗效.方法对30例经显微手术治疗的矢状窦及大脑镰旁脑膜瘤患者影像学资料、手术入路、显微手术切除肿瘤的方法及效果进行分析.结果 30例患者按Simpson切除标准,Ⅰ级切除23例,Ⅱ级切除7例,无手术死亡.随访1～5年,2例患者复发,均二次手术治愈.结论熟悉显微神经解剖关系,采用显微手术切除矢状窦、大脑镰旁脑膜瘤,可提高肿瘤全切率,减少重要功能区的损伤,减少并发症,提高患者术后生存质量.
목적 탐토현미외과수술치료대뇌렴방급시상두방뇌막류적림상료효.방법 대30례경현미수술치료적시상두급대뇌렴방뇌막류환자영상학자료、수술입로、현미수술절제종류적방법급효과진행분석.결과 30례환자안Simpson절제표준,Ⅰ급절제23례,Ⅱ급절제7례,무수술사망.수방1～5년,2례환자복발,균이차수술치유.결론 숙실현미신경해부관계,채용현미수술절제시상두、대뇌렴방뇌막류,가제고종류전절솔,감소중요공능구적손상,감소병발증,제고환자술후생존질량.
Objective To investigate the effects of surgical method on the falx paraneoplastic parasagittal meningiomas.Methods 30 cases of surgical treatment in sagittal sinus and falx meningioma patients with imaging data,surgical approach,microsurgical resection of the tumor method and efficacy were analyzed.Results 30 patients resected by Simpson standard,Ⅰ grade resection 23 cases,Ⅱ grade resection in 7 cases,no operative mortality.1-5 years of follow-up,2 patients relapsed,all secondary surgical cure.Conclusion To be familiar with microscopic neuroanatomical relationship,using microsurgical resection of the superior sagittal sinus,falx meningioma,tumor removal rate can be increased to reduce the important functional areas of damage,reduce complications and improve quality of life of patients.