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zhong hou 1/3 shi zhuang zuo pang nao mo liu de xian wei wai ke zhi liao
Author(s): 
Pages: 603-605
Year: Issue:  6
Journal: THE JOURNAL OF PRACTICAL MEDICINE

Keyword:  矢状窦中央沟静脉脑膜瘤显微外科手术;
Abstract: 目的:提高中后1/3矢状窦旁脑膜瘤的手术效果.方法:应用显微手术治疗中后1/3矢状窦旁脑膜瘤35例,术前行DSA检查25例,了解肿瘤的血供、矢状窦通畅程度及瘤周静脉回流代偿情况,采取先阻断窦旁供血,然后囊内或分块切除肿瘤,注意保护中央沟静脉、其他代偿回流静脉及瘤周正常脑组织,妥善处理受累的矢状窦.结果:肿瘤全切除31例,近全切除4例,无手术死亡,术后遗有左侧轻偏瘫3例,双下肢轻瘫2例.29例术后随访3~7年,无肿瘤复发.结论:采用显微手术切除中后1/3矢状窦旁脑膜瘤可提高肿瘤全切除率,减少脑重要功能区的损伤,减少并发症,提高患者术后生存质量.
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