CAJ | 학술논문

目的：探讨影响脑膜瘤手术疗效的因素，为防治脑膜瘤术后复发提供参考依据。方法选取我院经手术治疗且资料齐全的92例脑膜瘤患者，在系统随访的基础上进行回顾性分析，总结术后复发的影响因素。结果单因素统计分析显示，肿瘤的病理分型与手术切除的程度对脑膜瘤的复发有明显影响（ P＜0.05）；其余因素，如年龄、性别、肿瘤部位、肿瘤大小对肿瘤复发无明显影响（ P＞0.05）；多因素统计分析显示，手术的切除程度（ P＝0.001）与肿瘤病理分型（ P＝0.013）可为预测复发的独立因素，与手术疗效密切相关。结论脑膜瘤术后复发与肿瘤的手术切除程度、病理分型明显相关；与性别、年龄、肿瘤部位及大小无关，手术切除程度及病理分型为影响手术疗效的因素。
목적：탐토영향뇌막류수술료효적인소，위방치뇌막류술후복발제공삼고의거。방법선취아원경수술치료차자료제전적92례뇌막류환자，재계통수방적기출상진행회고성분석，총결술후복발적영향인소。결과단인소통계분석현시，종류적병리분형여수술절제적정도대뇌막류적복발유명현영향（ P＜0.05）；기여인소，여년령、성별、종류부위、종류대소대종류복발무명현영향（ P＞0.05）；다인소통계분석현시，수술적절제정도（ P＝0.001）여종류병리분형（ P＝0.013）가위예측복발적독립인소，여수술료효밀절상관。결론뇌막류술후복발여종류적수술절제정도、병리분형명현상관；여성별、년령、종류부위급대소무관，수술절제정도급병리분형위영향수술료효적인소。
Objective To explore the factors influencing the efficacy of operation on patients with meningioma ,and pro-vide reference for prevention from postoperative recurrence.Methods In our hospital ,the data of 92 patients treated by opera-tion were retrospectively analyzed on the basis of systematic follow-up ,and the factors influencing postoperative recurrence were summarized.Results The single factor analysis found that the pathological type and the extent of operation significantly affected the recurrence of meningiomas(P<0.05). Other factors such as age ,gender ,tumor location ,tumor size had no sig-nificant effect(P>0.05). Multivariate analysis showed that the extent of resection operation (P=0.001) and pathological clas-sification(P=0.013) could be used as independent prognostic factors predicting recurrence ,and were closely related with the operation effect.Conclusion Postoperative recurrence of meningiomas is significantly related to the extent of resection ,patho-logical type ,but has nothing to do with gender and age ,tumor site. The extent of operation and pathological type can be used as factors influencing the efficacy of operation.