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| Analysis of Efficacy and Safety of Microscopic Minimally Invasive Surgery and Traditional Craniotomy Surgery for Parasagittal Sinus and Parafalx Cerebri Meningiomas |
| HUANG Bin, TAN Zhiling, WANG Rongyan, et al |
| Affiliated Hospital of Xiangnan University, Hunan Chenzhou 423099, China |
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Abstract Objective: To compare the efficacy and safety of microsurgery with traditional craniotomy in the treatment of parasagittal sinus meningiomas and parafalx meningiomas. Methods: From January 2015 to January 2018, 86 patients with parasagittal sinus meningiomas and parafalx meningiomas in our hospital were selected for the study. They were divided into observation group (46 cases) and control group (40 cases) by simple random number table method. Observation group was treated with microsurgery and control group with traditional craniotomy. The perioperative condition, Simpson grade of tumor resection, symptom relief and recurrence rate were compared between the two groups. Results: The operation time in the observation group was significantly longer than those in the control group, the amount of bleeding and blood transfusion during operation were significantly less than those in the control group, and the hospitalization time was significantly shorter than those in the control group(P＜0.05). The Simpson grading of tumor resection between the two groups has statistically significant (P＜0.05). After operation, the symptoms of limb dysfunction, sensory disturbance and epilepsy in the observation group were significantly improved compared with those before operation, while the limb dysfunction in the control group were significantly improved (P＜0.05). The limb dysfunction in the observation group was significantly lower than those in the control group (P＜0.05). In the follow-up results showed that the total recurrence rate in the observation group was significantly lower than those in the control group (P＜0.05). Conclusion: Compared with traditional craniotomy surgery, the microsurgical minimally invasive surgery is more effective for parasagittal sinus and parafalx cerebri meningiomas, it has the advantages of less trauma, promoting the recovery of clinical symptoms and low recurrence rate., which is worthy of application and promotion.
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2020, Vol. 26 
