摘要
目的探讨中央回区脑膜瘤的手术方法和技巧。方法回顾性分析采用显微外科手术切除15例中央回区脑膜瘤的临床资料，其中肿瘤位于中央前回8例，中央后回5例，中央前后回均受累2例。结果Simpson Ⅰ级切除9例，Ⅱ级切除5例，Ⅲ级切除1例。无手术死亡，术后功能障碍好转10例，无效5例，新增短期功能障碍6例；随访9—38个月，未见肿瘤复发。结论中央回区脑膜瘤应在良好功能保护的前提下，力争达到SimpsonⅠ级切除。准确定位、保护好功能区皮质、加强回流静脉结构和功能的维护是降低中央回区脑膜瘤手术残障率的关键。
Objective To discuss the surgical methods and techniques of meningiomas in central gyrus region. Methods A retrospective analysis was performed on 15 cases of meningiomas in central gyrus region, including tumor in precentral gyrus 8 cases, postcentral gyrus 5 cases, both anterior and posterior central gyrus 2 cases. Results According to Simpson＇s scale, Simpson Ⅰ , Ⅱ and Ⅲ grade removal was achieved in 9,Sand 1 respectively. There was no postoperative death. After a follow - up period ranging from 9 to 38 months, preoperative dysfunction was improved in 10 cases, no functional improvement in 5 cases, additional short - term dysfunction in 6 cases. There was no recurred case. Conclusion The surgical treatment of meningiomas in central gyrus region should be in good function under the premise of protection, and strive to achieve Simpson I grade excisiotr Both accurate localization and protection of central gyrus cortex are the keys to reduce postoperative crippling rate in cases with meningiomas in central gyrus region.
出处
《中华神经外科杂志》
CSCD
北大核心
2009年第8期731-733,共3页
Chinese Journal of Neurosurgery
关键词
中央回区
脑膜瘤
显微外科手术
The central gyrus region
Meningiomas
Microsurgery
