目的 探讨颅内不同部位中、小型脑膜瘤治疗方法的选择和手术治疗经验.方法 回顾性总结分析32例脑膜瘤病人的临床症状、体征、影像学资料以及病理资料,分析和比较颅内不同部位中、小型脑膜瘤的手术治疗特点.结果 32例肿瘤全切.1例因家庭经济原因于术后6 d自动出院,术后偏瘫1例,其余病人均康复正常生活.术后随访6~24个月,未见复发.结论 对颅内具有明显占位效应的中、小型脑膜瘤,根据肿瘤不同生长部位的特点,采取个体化的手术方法治疗,完全切除肿瘤,多数病人治疗效果满意.%Objective To explore the treatment methods and the experience of surgical treatment for small and middle sized meningioma indifferentpartsofthebrain.Methods The surgical treatment characteristics of the different parts of the brain were analyzed and compared by analyzing retrospectively the clinical symptoms,signs,imaging data and pathological data of 32 patients with meningioma. Results Thirty-two cases of tumor were completely resected.One case was discharged six days after surgery for financial reasons.One case in hemiplegia after operation,while the other remaining patients were recovered to normal life.They were followed up for 6 to 24 months,notumorrecurrence.Conclusion For the middle and small scale meningioma with obvious occupying effect,according to the characteristics of different growth parts of the tumor,the individual surgical treatment was adopted.The tumor was completely removed, and most of the patients can obtain satisfactory therapeutic effect.
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