凸性脑膜瘤的外科切除技术

B. Saberi
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引用次数: 0

摘要

Simpson“I”级切除是凸面脑膜瘤手术的目标。开颅后,通过术中超声、神经导航和目视检查,沿周向确定硬脑膜与肿瘤的交界处。硬脑膜切口距肿瘤至少1厘米,以肿瘤周围的圆周方式切开。双极烧灼用于肿瘤环绕后的硬脑膜附着中心。这导致切缘向外翻转,使蛛网膜边缘明显可见[1]。
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Surgical Resection Technique for Convexity Meningiomas
Simpson grade “I” resection, is the goal in convexity meningiomas surgery. After craniotomy, by using intraoperative ultrasound, neuronavigation and visual inspection, the junction of the dura with the tumor is defined in a circumferential direction. Dural incision is made at least in one centimeter distance from the tumor in a circumference manner around the tumor. Bipolar cautery is used to the dural attachment center after tumor encircling. This cause the cut margins to be turned outwardly and cause the arachnoid margin to be obviously visualized [1].
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