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囊性脑膜瘤的手术治疗
引用本文:吴明灿,许先平,罗国才,杨勇,王鹏.囊性脑膜瘤的手术治疗[J].长江大学学报,2008(4).
作者姓名:吴明灿  许先平  罗国才  杨勇  王鹏
作者单位:长江大学临床医学院 长江大学附属第一医院荆州市第一人民医院神经外科
摘    要:目的:探讨囊性脑膜瘤的病理、临床特点及手术方法。方法:对13例囊性脑膜瘤临床资料进行回顾性分析。结果:肿瘤实质及囊壁全切除9例,肿瘤实质全切加囊壁部分切除3例,肿瘤实质及囊壁部分切除1例,无手术死亡和严重并发症。结论:脑膜瘤由于急性囊变加速了病情发展,引起严重的临床症状,易误诊为其它性质的肿瘤,MRI可以提高诊断的准确率。应尽早手术,肿瘤结节与囊壁尽可能彻底切除以防复发。

关 键 词:囊性脑膜瘤  CT  MRI  病理  手术

Surgical Treatment of Patients with Cystic Meningioma
Wu Ming-can,XU Xian-ping,LUO Guo-cai.Surgical Treatment of Patients with Cystic Meningioma[J].Journal of Yangtze University,2008(4).
Authors:Wu Ming-can  XU Xian-ping  LUO Guo-cai
Abstract:Objective:To investigate and discuss the pathological,clinical features and operational methods of cystic meningioma. Methods: 13 cases of cystic meningioma treated in our hospital were analysed.Results: 9 cases were subjected to total resection of tumor parenchyma and cystic wall.3 total resection of tumor parenchyma and subtotal resection of cystic wall.1 subtotal resection of tumor parenchyma and cystic wall.No operation death or severe complications occurred.Conclusion: Cystic meningioma can sometime be misdiagnosed as other brain tumors because of its rapid growth and severe clinical symptoms.MRI is beneficial to diagnose the cystic meningioma accurately. The tumor nodule and the wall of the cyst should be resected totally in order to prevent recurrence as soon as possible.
Keywords:Cystic meningioma  CT  MRI  Pathology  Surgical Operation
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