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目的:探讨脑膜瘤的外科手术治疗方法及治疗效果。方法:回顾性分析2009年8月至2014年5月入住我院的62例脑膜瘤患者的临床资料,分别采用翼点入路及经额下入路等不同外科手术入路途径,行显微外科治疗。结果:62例患者术后随访3-32个月,平均随访时间为(14.39±2.11)个月。全切除SimpsonⅠ级、Ⅱ级58例,次全切除SimpsonⅢ级、Ⅳ级4例。恢复良好47例(占75.81%),好转10例(占16.13%),术后新增颅神经损伤3例(4.84%),死亡2例(3.23%)。结论:根据肿瘤所在的部位选择恰当的外科手术入路,熟悉显微神经解剖关系,可有效提高外科手术效果及改善患者预后状况,但应重点注意手术复发与恶病情况。
Objective: To investigate the surgical treatment of meningioma and its therapeutic effect. Methods: The clinical data of 62 patients with meningioma who admitted to our hospital from August 2009 to May 2014 were retrospectively analyzed. Microsurgery was performed using different surgical approaches such as pterional approach and transabdominal approach. Surgical treatment. Results: 62 patients were followed up for 3-32 months, the average follow-up time was (14.39 ± 2.11) months. Complete resection of Simpson Ⅰ grade, Ⅱ grade 58 cases, subtotal resection of Simpson Ⅲ grade, Ⅳ grade in 4 cases. The recovery was good in 47 cases (75.81%), improvement in 10 cases (16.13%), postoperative cranial nerve injury in 3 cases (4.84%) and death in 2 cases (3.23%). Conclusion: According to the location of the tumor, the proper surgical approach and familiarity with the anatomic relationship of the micro-nerves can effectively improve the surgical results and improve the prognosis of the patients. However, the recurrence and etiology of the patients should be paid more attention.