CAJ | 학술논문

目的：探讨显微外科技术在大型矢状窦旁脑膜瘤手术中的应用。方法肿瘤位于矢状窦前1/3有6例，中1/3有13例，后1/3有8例；其中跨上矢状窦两侧的有2例，颅骨侵犯的2例，软组织侵犯的1例合并有肿瘤卒中。采用跨中线骨瓣，显微手术技术切除27例上矢状窦旁大型脑膜瘤。结果肿瘤SimpsonⅠ级16例，SimpsonⅡ级8例，SimpsonⅢ级3例；术后回访3～36个月，1例术后二个月复发。结论采用显微外科技术，暴露上矢状窦，充分显露肿瘤，有效控制出血，保护回流静脉，可减少并发症。
목적：탐토현미외과기술재대형시상두방뇌막류수술중적응용。방법종류위우시상두전1/3유6례，중1/3유13례，후1/3유8례；기중과상시상두량측적유2례，로골침범적2례，연조직침범적1례합병유종류졸중。채용과중선골판，현미수술기술절제27례상시상두방대형뇌막류。결과종류SimpsonⅠ급16례，SimpsonⅡ급8례，SimpsonⅢ급3례；술후회방3～36개월，1례술후이개월복발。결론채용현미외과기술，폭로상시상두，충분현로종류，유효공제출혈，보호회류정맥，가감소병발증。
Objective To investigate the application of microsurgical techniques in the operation of bilateral large parasagittal meningiomas .Methods The tumors located in the anterior third sagittal sinus was 6 cases, the middle third 13, the posterior third 8,which cross the superior sagittal sinus on both sides of the 2 cases, 2 skull invasion, invasion of soft tissues of one with tumor apoplexy .27 patients with large meningiomas in the superior parasagittal sinus were treated with a series of microsurgical techniques .Results SimpsonⅠgrade removal was detected in 16 patients,SimpsonⅡgrade in 8 and SimpsonⅢgrade in 3.The follow-up period of patients ranged from 3 to 36 months, and tumor recurrence was observed in 1 case after 2 months.Conclusions The application of microsurgery could fully disclose superior parasagittal sinus and tumor effectively through interhemispheric approach , control hemorrhage and protect refluxing vein ,reduce complications .