CAJ | 학술논문

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.
목적 탐토뇌막류술후복발적상관인소.방법 회고성연구405례로내뇌막류,대기림상자료진행통계학분석,심조복발적상관인소.결과 37례뇌막류술후복발,기특점표현위환자년경、술전존재전간、종류기저위우시상두방급안결절、접골척、로광구통등로저부위、체적대、불규칙형、류주수종명현혹류내존재저밀도、수술절제정도저혹병리급별고.결론 뇌막류술후복발적상관인소포괄년령、술전전간、종류부위、최대경、형상、류주수종、병리류형이급수술절제정도등.
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, intratumoral 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.