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目的 探讨双侧大脑镰旁脑膜瘤的诊断、手术及预后。方法 对 11例双侧大脑镰旁脑膜瘤行手术治疗并对其疗效进行随访。结果 肿瘤全切 9例 ,次全切 2例。 3例出现肢体瘫痪 ;2例复发 ,分别为上矢状窦瘤组织残留和恶性脑膜瘤。随访 3年 ,除 1例死于心肌梗死外 ,其余均痊愈。结论 双侧大脑镰旁脑膜瘤的诊断应结合临床资料和影像学检查综合判断。术前仔细阅读X线片和脑血管造影对手术难易及预后的判断大有帮助。术前对明显瘤周水肿者行脱水治疗是防止术中脑膨出的有效措施。术中尽量全切肿瘤是预防肿瘤复发的关键
Objective To investigate the diagnosis, surgery and prognosis of bilateral falx meningiomas. Methods 11 cases of bilateral falx meningioma were treated surgically and the curative effect was followed up. Results Total tumor resection in 9 cases, subtotal 2 cases. 3 cases of limb paralysis; 2 cases of recurrence, respectively, the residual sagittal sinus tumor and malignant meningioma. Followed up for 3 years, except for 1 patient died of myocardial infarction, the rest were cured. Conclusion The diagnosis of bilateral falx paraneoplastic meningioma should be combined with clinical data and imaging examination to determine. Preoperative read carefully X-ray and cerebral angiography on the difficulty and prognosis of the prognosis of great help. Preoperative obvious peritumor edema in patients with dehydration is an effective measure to prevent intraoperative encephalocele. Intraoperative resection of the tumor is the key to preventing tumor recurrence