摘要
Abstract
Objective:Explore the giant intracranial meningiomas microsurgical treatment.Methods:Patients with giant intracranial meningiomas object of this study selected were admitted to hospital from June 2007 to September 2012,36 cases using microsurgical treatment,20 patients with traditional craniotomy treatment,compare 2 group,review the related clinical data.Results:The microsurgery group of 36 patients,15 cases of meningioma Simpson grade I resection, 13 cases of gradeⅡ,7 cases in gradeⅢ,1 cases of grade IV.Clinical symptoms were improved compared with the preoperative,postoperative transient aphasia, hemiplegia 5 cases,aggressive treatment,three months after recovery.SimpsonⅢ、Ⅳgrade with Conventional radiotherapy. Conventional surgery group had aphasia,hemiplegia,12 cases,compared with the microsurgical group difference was statistically significant (P<0.05).Conclusion:For the treatment of giant intracranial meningioma operation,preoperative enhanced DSA examination,MRI and CT.The intraoperative do a good job of important brain tissue,nerves, blood vessels protection,enhance skills,early for them to block the tumor blood,the adhesions parts line the sharp separation operation,exact hemostasis line intratumoral block resection.The postoperative strengthen protection of complications,actively take preventive measures,can improve surgery quality,reduce patient morbidity and mortality.关键词
颅内肿瘤/巨大脑膜瘤/显微手术Key words
Intracranial tumors/Giant meningioma/Microsurgery分类
医药卫生
