CAJ | 학술논문

目的：探讨显微神经外科手术联合术后伽马刀治疗窦旁脑膜瘤的疗效和安全性。方法2008年6月至2013年7月34例窦旁脑膜瘤患者行显微手术切除，术后1～3个月复查头部MRI，对SimpsonⅡ级和Ⅲ级切除者追加伽马刀治疗。结果34例患者中，Simpson Ⅰ级切除9例，Simpson Ⅱ级切除20例，Simpson Ⅲ级切除5例。术后并发轻瘫9例，无术后脑肿胀、重残和死亡病例。术后对Simpson Ⅱ级和Ⅲ级切除的25例患者进行伽马刀治疗（剂量8～20Gy）。术后随访6～36个月，3例复发，其中Simpson Ⅱ级1例，Simpson Ⅲ级2例。结论显微神经外科手术联合术后伽马刀治疗窦旁脑膜瘤安全性较好，复发率低。
목적：탐토현미신경외과수술연합술후가마도치료두방뇌막류적료효화안전성。방법2008년6월지2013년7월34례두방뇌막류환자행현미수술절제，술후1～3개월복사두부MRI，대SimpsonⅡ급화Ⅲ급절제자추가가마도치료。결과34례환자중，Simpson Ⅰ급절제9례，Simpson Ⅱ급절제20례，Simpson Ⅲ급절제5례。술후병발경탄9례，무술후뇌종창、중잔화사망병례。술후대Simpson Ⅱ급화Ⅲ급절제적25례환자진행가마도치료（제량8～20Gy）。술후수방6～36개월，3례복발，기중Simpson Ⅱ급1례，Simpson Ⅲ급2례。결론현미신경외과수술연합술후가마도치료두방뇌막류안전성교호，복발솔저。
Objective To investigate the efficacy and safety of microneurosurgery associated with gamma knife on venous si-nuses meningiomas. Methods From June 2008 to July 2013, 34 patients with venous sinus meningiomas were underwent microneuro-surgery. All the patients accepted MRI examination in 1-3 months after operation. Cases of SimpsonⅡandⅢ grade resection received gamma knife therapy to decrease recurrence. Results Among the 34 patients, Simpson I, Ⅱand Ⅲ grade resection was achieved in 9, 20 and 5. Nine cases suffered muscle weakness, and no brain swelling, serious disablity and death occurred. Twenty-five cases of Simpson Ⅱand Ⅲ grade received gamma knife treatment in 1-3 month after operation with total dose of 8-20Gy. The follow-up ranged 3-36 months. One case of Simpson Ⅱ resection and 2 cases of Simpson Ⅲ resection recurred. Conclusion Patinent microsurgical treatment associated with gamma knife in the treatment of venous sinuses meningiomas shows ideal efficacy and low recurrence.