[凸面脑膜瘤、矢状旁脑膜瘤、镰状脑膜瘤]。

Q4 Medicine Neurological Surgery Pub Date : 2024-07-01 DOI:10.11477/mf.1436204972
Masahide Matsuda
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引用次数: 0

摘要

在脑膜瘤手术过程中,切除肿瘤所需的基本手术技巧和策略很常见,尤其是对于位置较浅的肿瘤,如凸面脑膜瘤、副矢状脑膜瘤和镰状脑膜瘤。四种基本手术技巧,包括剥离、去血管、剥离和剥离,应根据每个肿瘤的具体情况,按照适当的顺序组合和重复使用。最终实现肿瘤与周围组织的全周剥离。必须将肿瘤向肿瘤中心通过内部剥离形成的空间牵开,而不是牵开正常脑部,以避免对周围脑组织造成损伤。在对伴有静脉窦闭塞的矢状旁脑膜瘤进行手术时,必须保留已形成侧支通路的皮质静脉,以防止静脉并发症。在对镰状脑膜瘤进行手术时,需要根据桥状静脉的发展情况和明显的瘤周脑水肿等因素选择包括对侧入路在内的手术入路。本文详细介绍了凸面脑膜瘤、矢状旁脑膜瘤和镰状脑膜瘤的手术方法,重点介绍了针对每种肿瘤类型的基本手术技术的应用。
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[Convexity Meningioma, Parasagittal Meningioma, Falx Meningioma].

During surgery for meningioma, basic surgical techniques and strategies required for the removal of the tumor are common, particularly for tumors located superficially, such as convexity, parasagittal, and falx meningiomas. Four basic surgical techniques, including detachment; devascularization; debulking; and dissection should be combined and repeated in appropriate sequence, tailored to the specific conditions of each tumor. This eventually enables the total circumferential dissection of the tumor from the surrounding tissues. It is essential to retract the tumor towards the space created at the tumor center through internal debulking, rather than retracting the normal brain, to avoid damage to the surrounding brain tissue. During surgery for parasagittal meningioma with venous sinus occlusion, it is crucial to preserve the cortical veins that have developed as collateral pathways to prevent venous complications. During surgery for falx meningioma, the selection of a surgical approach including a contralateral approach based on factors such as the development of bridging veins and significant peritumoral brain edema is required. In this article, detailed surgical procedures for convexity meningioma, parasagittal meningioma, and falx meningioma were described focusing on the application of fundamental surgical techniques tailored to each tumor type.

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来源期刊
Neurological Surgery
Neurological Surgery Medicine-Medicine (all)
自引率
0.00%
发文量
99
期刊最新文献
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