CAJ | 학술논문

目的：探讨显微手术治疗大脑镰矢状窦旁脑膜瘤的临床疗效及手术方法。方法回顾性分析8例大脑镰矢状窦旁脑膜瘤的临床资料和显微手术技巧。结果8例患者中，全切7例，Simpson Ⅰ级切除5例，Simpson Ⅱ级切除2例，大部分切除1例。术后随访6个月至4年，肿瘤复发1例。结论显微手术全切肿瘤、术中有效处理大脑镰和矢状窦、妥善保护重要回流静脉是影响预后的重要因素。
목적：탐토현미수술치료대뇌렴시상두방뇌막류적림상료효급수술방법。방법회고성분석8례대뇌렴시상두방뇌막류적림상자료화현미수술기교。결과8례환자중，전절7례，Simpson Ⅰ급절제5례，Simpson Ⅱ급절제2례，대부분절제1례。술후수방6개월지4년，종류복발1례。결론현미수술전절종류、술중유효처리대뇌렴화시상두、타선보호중요회류정맥시영향예후적중요인소。
Objective To review the clinical efficacy and surgical methods of microsugical treatment for the meningioma in the cerebral falx and sagittal sinus .Methods The clinical date and microsurgery techniques of 8 pa-tients with meningioma in the cerebral falx and sagittal sinus treated by microsurgery were analyzed retrospectively . Results 7 tumors were totally removed ,including Simpson grade Ⅰin 5 cases and Simpson Ⅱin 2 cases and 1 ca-ses subtotally resection.The follow-up from 6 months to 4 years,the tumor recurred in.Conclusion The total tumor resection by microsurgery ,and effective treatment of cerebral falx and sagittal sinus in operation ,and protection of im-portant brain eloquent veins are important reasons for influence outcomes .