CAJ | 학술논문

目的：探讨皮质中央区脑膜瘤的手术方法和术后神经功能障碍的治疗。方法19例中央区脑膜瘤患者均采取开颅手术切除肿瘤，对患者的治疗、手术方法以及3例严重神经功能障碍者的治疗过程进行回顾性分析。术前脱水治疗，术中抬高头位35°，显微分离肿瘤，分块切除保护中央沟静脉及皮质中央区，术后高压氧治疗。结果按Simpson标准，19例患者中Ⅰ级切除13例，Ⅱ级5例，Ⅲ级1例，无手术死亡患者。3例术后出现较严重肢体运动或感觉障碍的患者经积极治疗后恢复。结论术前完善的检查和评估，术中显微操作，保护好中央沟静脉以及瘤周的静脉。保护好皮质中央区，术后适当延长脱水时间，同时对于严重神经功能障碍者给予高压氧等辅助治疗，是获得良好效果的因素。
목적：탐토피질중앙구뇌막류적수술방법화술후신경공능장애적치료。방법19례중앙구뇌막류환자균채취개로수술절제종류，대환자적치료、수술방법이급3례엄중신경공능장애자적치료과정진행회고성분석。술전탈수치료，술중태고두위35°，현미분리종류，분괴절제보호중앙구정맥급피질중앙구，술후고압양치료。결과안Simpson표준，19례환자중Ⅰ급절제13례，Ⅱ급5례，Ⅲ급1례，무수술사망환자。3례술후출현교엄중지체운동혹감각장애적환자경적겁치료후회복。결론술전완선적검사화평고，술중현미조작，보호호중앙구정맥이급류주적정맥。보호호피질중앙구，술후괄당연장탈수시간，동시대우엄중신경공능장애자급여고압양등보조치료，시획득량호효과적인소。
Objective To explore the surgical methods of cortical center meningiomas and the treatment of postoperative neurologic dysfunction .Methods 19 patients with meningiomas in in middle cortex area underwent the resection by craniotomy opertion .The clinical data of treatment , surgical methods of 19 patients with meningiomas central cortex and 3 with serious neurological disorders were analyzed retrospectively .Dehydration treatment before operation , raise the head position of 35 degrees during the surgery , microdissected tumor and resection block to protect the central sulcus cortical veins and central area,than the oxygen therapy was given after operation.Results According to Simpson standard,of 19 patients,13 belonged in gradeⅠ,5 in gradeⅡ,1 in gradeⅢ,no operative mortality in 19. Three patients with postoperative appeared more severe limb movement or feel disorder were recovered by aggressive treatment .Conclusions Preoperative perfect inspection and assessment , intraoperative micromanipulation,protect the central sulcus vein and peritumoral veins .Protect cortical central district , after an appro-priate extension of dehydration time ,while for severe neurological dysfunction are given hyperbaric oxygen and other adjuvant therapy ,is to obtain good results factor .