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分析矢状窦旁及大脑镰旁脑膜瘤显微手术治疗效果与安全性,总结临床体会.[方法]回顾性分析本院2010年4月至2018年4月收治的95例矢状窦旁及大脑镰旁脑膜瘤患者的临床资料.主要内容包括患者基线资料、影像学检查、手术方法、切除效果、随访结局等,据此总结显微外科治疗的效果与安全性,并探讨临床经验体会.[结果]95例肿瘤全切(Ⅰ~Ⅲ级切除)率为92.63%.术后并发颅内出血2例,行开颅血肿清除术后恢复.Ⅰ级切除者未见复发,Ⅱ级切除复发6例(10.71%),Ⅲ级切除复发5例(83.33%),Ⅳ级切除复发6例(100.00%).[结论]矢状窦旁及大脑镰旁脑膜瘤显微外科手术的肿瘤全切率值得肯定,应力求达到Ⅰ级切除,以降低患者复发风险、改善其预后质量.“,”Toanalyzetheefficacyandsafetyofmicrosurgeryforparasagittalandparafalxmeningi-omas,andtosummarizetheclinicalexperience.[Methods]Theclinicaldataof95patientswithparasagittaland parafalxmeningiomasadmittedtoourdepartmentfrom April2010to April2018 wereanalyzedretrospectively. Theanalysisincludedbaselinedata,imagingexamination,surgicalmethod,resectioneffect,follow-upoutcome, etc.Basedonthis,theeffectandsafetyofmicrosurgeryweresummarized,andtheclinicalexperiencewasdis-cussed.[Results]Thetotalresectionrateof95cases(gradeⅠ~Ⅲ)was92.63%.Postoperativeintracranialhem-orrhageoccurredin2casesandrecoveredaftercraniotomy.TherewasnorecurrenceingradeⅠresection,6cases (10.71%)ingradeⅡresection,5cases(83.33%)ingradeⅢresectionand6cases(100.00%)ingradeⅣresec-tion.[Conclusion]Thetotalresectionrateofparasagittalsinusandparafalx meningiomasshouldbeconfirmed. GradeIresectionshouldbeachievedtoreducetheriskofrecurrenceandimprovethequalityofprognosis.