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Стоимость процедуры может составлять около 10 170–11 670 долларов США. Академическая больница Ponderas аккредитована JCI и сочетает в себе тщательную диагностику с послеоперационным наблюдением для обеспечения комплексной нейрохирургической помощи.</p><doctor id=\"10068\"></doctor>","text_type":"mt_wow_description","best_texts":{"why_its_ranked":"Больница, аккредитованная JCI, с нейрохирургом, прошедшим обучение во Франции и специализирующимся на удалении опухолей головного мозга. 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Большинство специалистов используют для удаления менингиом радикальную хирургию или лучевую терапию.</p>\n\t<p>\n\t\t<strong>Резекция менингиомы подразделяется на:</strong></p>\n\t<ul>\n\t\t<li>\n\t\t<strong>тотальную</strong> (удаляется вся опухоль);</li>\n\t\t<li>\n\t\t<strong>субтотальную или частичную </strong>(удаляется только часть опухоли).</li>\n\t</ul>\n</div>\n\n\n\n<h2>Основные варианты лечения менингиомы</h2>\n<i class=\"fa fa-angle-down\"></i>\n\n<div class=\"accordion-item-text\">\n\t<p style=\"text-align:justify;\">\n\t\tВид терапии зависит от размера опухоли, ее расположения, возраста пациента и наличия патологий.</p>\n\t<p>\n\t\t<strong>Существует 2 основных метода лечения менингиомы:</strong></p>\n\t<ul>\n\t\t<li>\n\t\t<strong><a></a>Стереотаксическая радиохирургия</strong>, применяемая при затрудненном доступе к опухоли и близком расположении менингиомы к сосудам, нервным стволам, синусам головного мозга;</li>\n\t\t<li>\n\t\t<strong>Хирургическое удаление </strong>, применяемое в случаях больших размеров менингиомы (более 3,5 см в диаметре).</li>\n\t</ul>\n\t<h3>\n\t<br />\n\t<strong>Стереотаксическая радиохирургия</strong></h3>\n\t<p style=\"text-align:justify;\">\n\t\tРадиохирургия - это медицинская процедура, используемая для уничтожения опухолей или приостановки их функционирования путем однократного облучения высокой дозой ионизирующего излучения.</p>\n\t<p>\n\t\tРадиохирургия имеет <strong>два основных преимущества</strong>:</p>\n\t<ol>\n\t\t<li>\n\t\tОблучение <strong>воздействует на менингиому с разных сторон</strong> (опухоль получает максимально возможную дозу радиации)</li>\n\t\t<li>\n\t\tРадиохирургия <strong>неинвазивна</strong> (лечение опухоли не требует нарушения целостности тканей головы и вскрытия черепа).</li>\n\t</ol>\n\t<p><br />\n\t</p>\n\t<p style=\"text-align:justify;\">\n\t\t<a></a>Противопоказанием к радиохирургии является невозможность оперировать опухоли мозга диаметром более 3,5 см.<strong> </strong><span>Эффективность стереотаксической радиохирургии очень высока: около</span><strong> 95 %</strong><span> менингиом прекращают свой рост после одной процедуры или небольшого курса лечения.</span></p>\n\t<p>\n\t\tОсновными <strong>радиотерапевтическими / радиохирургическими установками</strong> являются:</p>\n\t<ul>\n\t\t<li>\n\t\tГамма-нож;</li>\n\t\t<li>\n\t\tКиберНож;</li>\n\t\t<li>\n\t\tTrueBeam.</li>\n\t</ul>\n\t<p>\n\t\t<br />\n\t\t<strong><a></a>Преимущества и недостатки удаления менингиомы с помощью Гамма-ножа </strong></p>\n\t<ul>\n\t\t<li>\n\t\tпредназначен для <strong>неинвазивной хирургии головного мозга</strong> (без использования скальпеля);</li>\n\t\t<li>\n\t\tимеет каркасную систему иммобилизации с источниками излучения, что может вызвать такие последствия операции на гамма-ноже при менингиоме, как головная боль, тошнота и риск инфицирования;</li>\n\t\t<li>\n\t\tиспользуется один снимок магнитно-резонансной томографии, в отличие от систем, в которых не используется рама для крепления головы и требуется постоянная визуализация с помощью КТ во время лечения <a></a>, что вносит дополнительный вклад в превышение доз облучения;</li>\n\t\t<li>\n\t\tмалые размеры коллиматоров защищают ткани организма от воздействия излучения и исключают возможность лечения метастазов и опухолей более 3 см.</li>\n\t</ul>\n\t<p>\n\t\t<br />\n\t\t<strong><a></a>Особенности резекции менингиомы с помощью КиберНожа</strong></p>\n\t<ul>\n\t\t<li>\n\t\t<strong>универсальный метод</strong> не только для лечения головного мозга, но и для удаления опухоли и метастазов по всему организму;</li>\n\t\t<li>\n\t\tмегавольтное рентгеновское излучение КиберНожа в четыре раза мощнее, чем энергия кобальта, используемая в ГаммаНоже;</li>\n\t\t<li>\n\t\tКиберНож - гибкая, безрамная система, позволяющая проводить лечение пациента за один или несколько сеансов. Это позволяет онкологам выбирать наиболее безопасный и эффективный курс лечения;</li>\n\t\t<li>\n\t\tне требует вкручивания каркаса в череп для иммобилизации, что позволяет избежать головной боли, тошноты и риска инфицирования.</li>\n\t</ul>\n\t<p><br />\n\t</p>\n\t<p>\n\t\t<strong>Особенности стереотаксической радиохирургии с использованием системы TrueBeam</strong></p>\n\t<ul>\n\t\t<li>\n\t\t<a></a>Сфокусированные пучки излучения системы уничтожают опухолевые клетки, не затрагивая окружающие здоровые ткани;</li>\n\t\t<li>\n\t\t <strong>нет необходимости</strong> в использовании металлического каркаса, который крепится к костям черепа пациента;</li>\n\t\t<li>\n\t\tвозможность фракционного облучения (лечение делится на 2-5 небольших сеансов, что позволяет безопасно лечить крупные менингиомы, расположенные вблизи важных структур, например, зрительного нерва);</li>\n\t\t<li>\n\t\tСистема TrueBeam оснащена современными медицинскими устройствами визуализации, которые позволяют врачу-радиологу наблюдать за поведением опухоли в режиме реального времени;</li>\n\t\t<li>\n\t\tПри визуализации патологических образований используется технология конусно-лучевой компьютерной томографии (КТ). Этот метод визуализации позволяет <strong>снизить лучевую нагрузку на организм пациента на 25 %.</strong></li>\n\t</ul>\n\t<h3 style=\"text-align:center;\">\n\t<strong>Хирургическое лечение менингиом</strong></h3>\n\t<p>\n\t\tСуществует <strong>2 показания к хирургическому удалению менингиомы</strong>:</p>\n\t<p><a href=\"//bookimed.com/clinics/procedure=removal-of-meningioma/\"><img src=\"/images/editor/5991586246464.jpg\" alt=\"Endoscopic resection of meningioma\" style=\"float:right;margin:0px 0px 10px 10px;\" /></a>\n\t</p>\n\t<ul>\n\t\t<li>\n\t\tЕсли опухоль находится в области мозга, доступной для операции</li>\n\t\t<li>\n\t\tЕсли опухоль превышает 3,5 см в диаметре.</li>\n\t</ul>\n\t<p><br />\n\t</p>\n\t<p style=\"text-align:justify;\">\n\t\t<strong>Эндоскопическое вмешательство</strong> - малоинвазивный метод удаления менингиомы, при котором опухоль удаляется без вскрытия черепа с помощью эндоскопических инструментов. Чаще всего используется удаление менингиомы через трансназальный доступ. Метод наиболее эффективен в сочетании с интраоперационной МРТ и системами нервной навигации.</p>\n\t<p style=\"text-align:justify;\">\n\t\t<strong><a></a>Краниотомия</strong> или <strong>трепанация черепа</strong> проводится только в том случае, если опухоль расположена близко к поверхности. Этот метод обеспечивает хорошую видимость операционного поля и позволяет удалять большие опухоли.</p>\n</div>\n\n\n\n<h2>Подготовка к операции</h2>\n<i class=\"fa fa-angle-down\"></i>\n\n<div class=\"accordion-item-text\">\n\t<p style=\"text-align:justify;\">\n\t\tДля точного определения типа менингиомы и назначения наиболее быстрого и эффективного лечения пациенту необходимо пройти следующие процедуры:</p>\n\t<ul>\n\t\t<li>\n\t\t<a></a>Анализ крови;</li>\n\t\t<li>\n\t\tЭлектроэнцефалограмма;</li>\n\t\t<li>\n\t\tАнгиография;</li>\n\t\t<li>\n\t\tМРТ - магнитно-резонансная томография;</li>\n\t\t<li>\n\t\tМРС - магнитно-резонансная спектроскопия;</li>\n\t\t<li>\n\t\tКТ - компьютерная томография;</li>\n\t\t<li>\n\t\tбиопсия.</li>\n\t</ul>\n</div>\n\n\n\n<h2>Реабилитация после удаления менингиомы</h2>\n<i class=\"fa fa-angle-down\"></i>\n\n<div class=\"accordion-item-text\">\n\t<p style=\"text-align:justify;\">\n\t\tПериод реабилитации может составлять от нескольких недель до года. Он зависит от метода лечения и вида операции. Физическое и психологическое состояние пациента <a></a>до операции также влияет на послеоперационный период. Восстановление пройдет быстро, если пациент будет следовать предписанной врачом программе реабилитации и принимать необходимые лекарства.</p>\n</div>\n\n\n\n<h2>Последствия после удаления менингиомы</h2>\n<i class=\"fa fa-angle-down\"></i>\n\n<div class=\"accordion-item-text\">\n\t<p style=\"text-align:justify;\">\n\t\tПоследствия после удаления менингиомы зависят от локализации опухоли, распространенности патологического процесса и гистологического типа. У молодых людей последствий после резекции менингиомы не бывает, в отличие от пожилых пациентов, которые сталкиваются с негативными последствиями гораздо чаще.</p>\n\t<p>\n\t\t<strong>Последствия после резекции менингиомы могут быть самыми разнообразными:</strong></p>\n\t<ul>\n\t\t<li>\n\t\tпотеря зрения;</li>\n\t\t<li>\n\t\tпотеря слуха;</li>\n\t\t<li>\n\t\tугнетение чувствительности;</li>\n\t\t<li>\n\t\tпаралич конечностей;</li>\n\t\t<li>\n\t\t<a></a>нарушение координации;</li>\n\t\t<li>\n\t\tрецидивы.</li>\n\t</ul>\n</div>\n\n\n   \n       \t\n\n<h2>Рецидив менингиомы после удаления</h2>\n\n      <i class=\"fa fa-angle-down\"></i>\n   \n   <div class=\"accordion-item-text\">\n  \t \n\n\t<p>\n\t\t<strong>Частота рецидивов менингиомы после операции:<img alt=\"\" src=\"/ckfiles/images/meningioma-recur.jpg\" title=\"Recurrence of meningioma\" style=\"width:300px;height:206px;float:right;\" /></strong></p>\n\t<ul>\n\t\t<li>\n\t\t<strong>3%</strong> для доброкачественных опухолей;</li>\n\t\t<li>\n\t\t<strong>38%</strong> для атипичных опухолей;</li>\n\t\t<li>\n\t\t<strong>78%</strong> для злокачественных опухолей.</li>\n\t</ul>\n\t<p>\n\t\t<br />\n\t\t<strong>Также возможность рецидива менингиомы зависит от расположения опухоли. </strong>\n\t</p>\n\t<ul>\n\t\t<li>\n\t\tна своде черепа - <strong>3%</strong>;</li>\n\t\t<li>\n\t\tв области турецкого седла - <strong>19%</strong>;</li>\n\t\t<li>\n\t\tв области тела клиновидной кости <strong>34%</strong> в течение пяти лет;</li>\n\t\t<li>\n\t\tв кавернозном синусе - <strong>60-100%</strong>.</li>\n\t</ul>\n\n   </div>"},"guide_mc":{"text":"<p>День 1 - Прибытие</p><ul><li> Встреча в аэропорту и трансфер в отель.</li></ul><p> День 2 - Предоперационный</p><ul><li> Трансфер в клинику.</li><li> Консультация нейрохирурга и анестезиолога.</li><li> Предоперационные анализы, включая анализы крови и биопсию.</li><li> Подготовка к операции.</li></ul><p> День 3 - Хирургия</p><ul><li> Трансфер в операционную.</li><li> Введение общей анестезии.</li><li> Удаление менингиомы оперативное (длительность варьируется от 2-6 часов).</li><li> Послеоперационный мониторинг в послеоперационной палате.</li><li> Трансфер обратно в больничную палату.</li></ul><p> День 4-6 - Послеоперационный</p><ul><li> Продолжение пребывания в стационаре для наблюдения и восстановления.</li><li> Послеоперационный уход, включая обезболивание и уход за раной.</li></ul><p> Неделя 1-2 - Реабилитация</p><ul><li> Трансфер обратно в отель для дальнейшего восстановления.</li><li> Последующие приемы у нейрохирурга.</li><li> Физиотерапия при необходимости.</li></ul><p> Неделя 3-6 - Продолжение реабилитации</p><ul><li> Постепенное возвращение к легкой деятельности.</li><li> Продолжены контрольные осмотры и лечебная физкультура.</li></ul><p> Неделя 7 и далее</p><ul><li> Вернуться к работе и нормальной деятельности по совету врача.</li><li> Окончательные результаты можно увидеть через несколько месяцев после операции.</li></ul><p> <i>Обратите внимание, что выздоровление каждого пациента уникально, и сроки могут различаться.</i></p>"}}},"relations":{"countries":[{"name":"Азербайджан","alias":"azerbajdzhan","iso_code":"AZ"},{"name":"Германия","alias":"germany","iso_code":"DE"},{"name":"Греция","alias":"greciya","iso_code":"GR"},{"name":"Египет","alias":"egipet","iso_code":"EG"},{"name":"Израиль","alias":"israel","iso_code":"IL"},{"name":"Индия","alias":"india","iso_code":"IN"},{"name":"Испания","alias":"spain","iso_code":"ES"},{"name":"Италия","alias":"italiya","iso_code":"IT"},{"name":"Китай","alias":"kitaj","iso_code":"CN"},{"name":"Мексика","alias":"mexico","iso_code":"MX"},{"name":"ОАЭ","alias":"oae","iso_code":"AE"},{"name":"Румыния","alias":"rumuniya","iso_code":"RO"},{"name":"Таиланд","alias":"thailand","iso_code":"TH"},{"name":"Турция","alias":"turkey","iso_code":"TR"},{"name":"Швейцария","alias":"switzerland","iso_code":"CH"},{"name":"Южная 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глиобластомы","alias":"udalenie-glioblastomu"},{"name":"Трахелэктомия","alias":"trahelektomiya"},{"name":"Гемиколэктомия","alias":"gemikolektomia"},{"name":"Дистальная панкреатэктомия","alias":"distalnaya-pankreatektomiya"},{"name":"Сегментарная резекция легкого","alias":"segmentarnaa-rezekcia-legkogo"},{"name":"Резекция толстого кишечника","alias":"rezekcia-tolstogo-kisecnika"},{"name":"Субтотальная тиреоидэктомия","alias":"subtotalnaya-tireoidektomiya"},{"name":"Оментэктомия","alias":"omentektomiya-radikalnoe-udalenie-matki-s-yaichnikami-i-udalenie-salnika"},{"name":"Клиновидная резекция легкого","alias":"klinovidnaya-rezekciya"},{"name":"ТУИ (трансуретральная инцизия) простаты","alias":"tui-transuretralnaya-inciziya-prostatu"},{"name":"Гастрэктомия с роботом Да Винчи","alias":"gastrektomia-s-robotom-da-vinci"},{"name":"Лапароскопическая тотальная мезоректумэктомия","alias":"laparoskopicheskaya-totalnaya-mezorektumektomiya"},{"name":"Резекция 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