CAJ | 학술논문

目的：对显微外科手术治疗窦旁脑膜瘤的临床效果进行分析，为临床治疗提供依据。方法对该院2013年1-12月间收治的40例显微外科手术治疗的窦旁脑膜瘤患者的临床资料进行回顾性分析。结果按照Simpon切除标准，33例(82.5%)I级切除，7例(17.5%)Ⅱ级切除。术后随访1年，恢复良好。其中36例患者恢复后可正常工作，4例患者存在程度不同的功能障碍。结论显微外科手术治疗窦旁脑膜瘤的临床效果显著，可对上矢状窦妥善处理，防止损伤中央沟静脉和脑皮质其他的回流静脉，最大限度切除肿瘤。术后应用酌刀治疗，能够提高手术疗效。
목적：대현미외과수술치료두방뇌막류적림상효과진행분석，위림상치료제공의거。방법대해원2013년1-12월간수치적40례현미외과수술치료적두방뇌막류환자적림상자료진행회고성분석。결과안조Simpon절제표준，33례(82.5%)I급절제，7례(17.5%)Ⅱ급절제。술후수방1년，회복량호。기중36례환자회복후가정상공작，4례환자존재정도불동적공능장애。결론현미외과수술치료두방뇌막류적림상효과현저，가대상시상두타선처리，방지손상중앙구정맥화뇌피질기타적회류정맥，최대한도절제종류。술후응용작도치료，능구제고수술료효。
Objective To analyze the effect of microscopic surgery for treatment of sinus in parasagittal meningiomas and provide reference for clinical treatment. Methods Our hospital between January 2013-December 2013, 40 patients treated by microsurgi-cal operative treatment of sinus meningioma in patients with clinical data were retrospectively analyzed. Results According to the standard Simpon excision, 33 cases (82.5%) class I excision, 7 cases (17.5%)IIstage resection. Postoperative follow-up of 1 year, recovering well. 36 patients recovered to normal work, four patients exist different degree of dysfunction. Conclusion The effect of microscopic surgery in treatment of sinus in parasagittal meningiomas is significant. It can properly treat the superior sagittal sinus, protect central sulcus and reflux veins in cerebral cortex and maximize the removal of the tumor. Postoperative application of gam-ma knife treatment can improve the surgical curative effect.