知识与财富的链接
目的探讨脑膜瘤显微手术方式和要点。方法对我科2007年1月至2011年6月收治的71例脑膜瘤患者手术治疗的临床资料进行回顾性分析。结果 SimpsonⅠ级切除45例;Ⅱ级切除19例,Ⅲ级切除3例,Ⅳ级切除4例,无Ⅴ级切除病例,无死亡病例。术后随访6~72个月显示,随着Simpson分级升高肿瘤复发率也随之增高。结论全切肿瘤是减少脑膜瘤复发的保证;控制好术中出血是手术成败的关键;保护好脑功能是良好预后的前提。
Objective To explore the style and the key points of microsurgery for meningioma. Methods A retrospective analysis was made to the clinical data of 71 cases with meningioma treated by microsurgery from Jan., 2007 to June, 2011. Results Simpson Grade Ⅰ removal was performed in 45 cases, Grade Ⅱ removal in 19 cases, Grade Ⅲ removal in 3 cases and Grade Ⅳ removal in 4 cas- es; no adapting cases for Grade Ⅴ; no death occurred. Post-operation follow-up lasted from 6 to 72 months, which showed out that high- er Simpson Grade led to higher reoccurrence. Conclusions Total resection of tumor is the base to decrease the reoccurrence of menin- gioma; effective control of bleeding in operation is the key for successful surgery; good protection of cerebral function leads to favorable prognosis.
