中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2009年
9期
66-67
,共2页
老年人%无症状性脑膜瘤%诊断%治疗
老年人%無癥狀性腦膜瘤%診斷%治療
노년인%무증상성뇌막류%진단%치료
Elderly patient%Asymptomatic meningioma%Diagnose%Therapy
目的 探讨老年人无症状性脑膜瘤的临床特点,早期诊断和治疗.方法 回顾分析19例老年人无症状性脑膜瘤患者的临床治疗和随访资料.结果 8例患者首诊行手术治疗,1例行γ-刀治疗,4例在随访中行手术治疗,6例未做治疗而长期观察未发现瘤体迅速增长.手术治疗者除术后1例死亡,其余患者未遗留长期的神经功能障碍.结论 老年人无症状性脑膜瘤不需急于手术,可严密进行3-6个月的综合临床观察和动态影像学跟踪再决定治疗方案,术中应该视具体情况决定肿瘤切除程度,把保证老年人的生存质量放在首位,不能影响术后生活质量.
目的 探討老年人無癥狀性腦膜瘤的臨床特點,早期診斷和治療.方法 迴顧分析19例老年人無癥狀性腦膜瘤患者的臨床治療和隨訪資料.結果 8例患者首診行手術治療,1例行γ-刀治療,4例在隨訪中行手術治療,6例未做治療而長期觀察未髮現瘤體迅速增長.手術治療者除術後1例死亡,其餘患者未遺留長期的神經功能障礙.結論 老年人無癥狀性腦膜瘤不需急于手術,可嚴密進行3-6箇月的綜閤臨床觀察和動態影像學跟蹤再決定治療方案,術中應該視具體情況決定腫瘤切除程度,把保證老年人的生存質量放在首位,不能影響術後生活質量.
목적 탐토노년인무증상성뇌막류적림상특점,조기진단화치료.방법 회고분석19례노년인무증상성뇌막류환자적림상치료화수방자료.결과 8례환자수진행수술치료,1례행γ-도치료,4례재수방중행수술치료,6례미주치료이장기관찰미발현류체신속증장.수술치료자제술후1례사망,기여환자미유류장기적신경공능장애.결론 노년인무증상성뇌막류불수급우수술,가엄밀진행3-6개월적종합림상관찰화동태영상학근종재결정치료방안,술중응해시구체정황결정종류절제정도,파보증노년인적생존질량방재수위,불능영향술후생활질량.
Objective To explore the clinical features,early diagnosis and treatment in elderly patients with asymptomatic meningomas.Methods The patients clinical datas and follow-up results of 19elderly patients with asymptomatic meningomas were retrospectively analyzed.Results 8 patients accepted surgery at the first diagnosis,one patient accepted γ radiosurgery,4patients accepted surgery in the follow-up period.The other 6patients who did not accept therapy were followed up and it was found that the tumor did not grow fast in the long period.Of all postoperative patients,one patient died,others without long-term disability in nervous systerm.Conclusion If the patients was diagnosed asymptomatic meningoma,the patient did not need surgery at once,whether surgery taken or not should follow up from three to six months in clinic data and diagnostic imaging.The elderly patient's living quality should be considered at first position during operation.The extent of tumor resection should be decided depending on specific conditions.
