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目的探讨顶枕部矢状窦旁、镰旁脑膜瘤的显微外科技巧及疗效。方法回顾性分析该院2008年1月-2013年5月36例顶枕部矢状窦旁、镰旁脑膜瘤手术患者临床资料。结果按照Simpson切除分级标准,其中Ⅰ级切除30例,Ⅱ级切除5例,Ⅲ级切除1例,无手术死亡病例。随访6个月~5年,无复发病例。结论运用娴熟的显微外科技术,充分暴露,有效控制出血,保护脑皮质及皮质引流静脉,妥善处理上矢状窦及大脑镰,可明显提高顶枕部矢状窦旁、镰旁脑膜瘤的全切率,减少并发症。
Objective To investigate the microsurgical skills and therapeutic effects of parasagittal and falx meningiomas in the superior occipital region. Methods A retrospective analysis of the hospital from January 2008 - May 2013 36 cases of the top of the occipital sagittal sinus, falx meningioma surgery patients with clinical data. Results According to the Simpson resection and grading standards, there were 30 cases of grade Ⅰ excision, 5 cases of grade Ⅱ excision and 1 case of grade Ⅲ excision. There were no cases of surgical death. Follow-up 6 months to 5 years, no recurrence. Conclusions The use of skilled microsurgical techniques to fully expose and effectively control bleeding, protect the cerebral cortex and cortical drainage veins, properly handle the superior sagittal sinus and falx, can significantly improve the superior occipital sagittal sinus, falx meningioma Full rate, reduce complications.