摘要
目的探讨脑膜瘤术后复发的相关因素。方法回顾性研究405例颅内脑膜瘤，对其临床资料进行统计学分析，寻找复发的相关因素。结果37例脑膜瘤术后复发，其特点表现为患者年轻、术前存在癫痫、肿瘤基底位于矢状窦旁及鞍结节、蝶骨嵴、颅眶沟通等颅底部位、体积大、不规则形、瘤周水肿明显或瘤内存在低密度、手术切除程度低或病理级别高。结论脑膜瘤术后复发的相关因素包括年龄、术前癫痫、肿瘤部位、最大径、形状、瘤周水肿、病理类型以及手术切除程度等。
Objective To explore the factors related to the recurrence of meningioma after resection. Method Clinical data of 405 intracranial meningiomas were retrospectively studied to explore the factors. Results 37 of the 405 patients recurred. The young patients, and the patients with seizure of epilepsy before operation, or with tumors based on tuberculum sellae, sphenoidal crest, parasagittal sinus and intra- orbital are apt to recur. The factors such as large size, irregular shape, obvious peritumoral edema, intratumoraJ cyst, necrosis or hemorrhage, low removal level, high pathological grade are highly significant to the recurrence of meningioma. Conclusions The recurrent factors include： age, preoperative epilepsy, localization, size, morphous, peritumoral edema, pathological type and the resection degree of the tumors.
出处
《中华神经外科杂志》
CSCD
北大核心
2009年第9期806-808,共3页
Chinese Journal of Neurosurgery
基金
山东省科技厅攻关课题（2006GG2302004）
关键词
脑膜瘤
复发
病理学
影像学
Meningioma
Recurrence
Pathology
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