CAJ | 학술논문

目的：探讨脑膜瘤术前血管栓塞的临床价值。方法脑膜瘤68例，前期治疗的36例术前未行脑血管造影及肿瘤血管栓塞（对照组），后期治疗的32例术前行脑血管造影及肿瘤供血血管栓塞（栓塞组），观察两组患者术中出血、手术时间、肿瘤切除程度、出院时GOS评分差异，记录栓塞相关并发症。结果栓塞组术中出血量明显少于对照组（P＜0．05），肿瘤切除程度优于对照组（P＜0．05）；两组手术时间、出院时GOS评分差异无统计学意义（ P均＞0．05）。结论脑膜瘤术前栓塞可减少手术出血、提高肿瘤切除率，但应重视其可能引起的并发症。
목적：탐토뇌막류술전혈관전새적림상개치。방법뇌막류68례，전기치료적36례술전미행뇌혈관조영급종류혈관전새（대조조），후기치료적32례술전행뇌혈관조영급종류공혈혈관전새（전새조），관찰량조환자술중출혈、수술시간、종류절제정도、출원시GOS평분차이，기록전새상관병발증。결과전새조술중출혈량명현소우대조조（P＜0．05），종류절제정도우우대조조（P＜0．05）；량조수술시간、출원시GOS평분차이무통계학의의（ P균＞0．05）。결론뇌막류술전전새가감소수술출혈、제고종류절제솔，단응중시기가능인기적병발증。
Objective To investigate the clinical value of preoperative embolization of meningiomas .Methods Of sixty-eight patients with meningiomas ,thirty-six patients who did not receive cerebral angiography and embolization before surgical operation in early days were enrolled into control group ,thirty-two patients who underwent preoperative cerebral angiography and embolization in later days were enrolled into embolization .The intraoperative blood loss , surgical time,extent of tumor resection ,GOS score at hospital discharge were compared between two groups ,and the complications of embolization were recorded .Results The intraoperative blood loss in the embolization group was less than that in the control group(P<0.05),and the extent of tumor resection in the embolization group was superior to that in the control group ( P<0 .05 ) .There was no significant difference in surgical time and GOS score at hospital discharge between two groups ( P<0 .05 ) .Conclusion The preoperative embolization of meningiomas can lessen the intraoperative blood loss ,and increase the resection rate of tumor .However,the complications of embolization can not be ignored .