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目的 评价血管转流管在静脉窦旁脑膜瘤显微全切除术中的应用价值。 方法 2 0 0 0年 2月～ 2 0 0 2年 3月收治静脉窦旁脑膜瘤 18例 ,其中 17例侵犯后 2 /3矢状窦 ,1例侵犯先天单侧横窦。术中全部应用血管转流管 ,在手术显微镜下施行肿瘤切除。 结果 全部病例均全部切除肿瘤和受侵犯之窦壁 (SimpsonⅠ级切除 ) ,12例作人造血管移植重建静脉窦 ,4例行窦壁硬脑膜修补 ,2例因静脉代偿充分仅单纯结扎静脉窦 ,术后恢复好 ,无死亡病例。 结论 血管转流管的应用是保证后 2 /3矢状窦旁及横窦脑膜瘤全切除及顺利进行静脉窦重建的良好技术之一。
Objective To evaluate the value of vascular bypass in the microsurgical resection of paraventricular myeloma. Methods From February 2000 to March 2002, 18 cases of paraventricular myeloma were treated, of which 17 cases infiltrated the posterior 2/3 sagittal sinus and 1 case invading the unilateral transverse sinuses. Intraoperative use of all vascular bypass tube, underwent surgical resection of the tumor. Results All tumors were excised from the tumor and infiltrated sinus wall (Simpson grade Ⅰ excision). Twelve cases were reconstructed with vascular graft for revascularization. Four cases were repaired with sinus wall dural repair. Only two cases with venous sinus , Good recovery after surgery, no deaths. Conclusion The application of vascular bypass is one of the good techniques to ensure the complete resection of 2/3 posterior sagittal sinus and transverse sinus meningioma and the successful sinus venous reconstruction.