CAJ | 학술논문

目的探讨恶性脑膜瘤的诊断与治疗方法.方法对我院29例恶性脑膜瘤患者的临床资料进行回顾性分析.结果 29例患者行SimpsonⅠ级切除15例、Ⅱ级切除8例、Ⅲ级切除6例.随访25例,随访时间20～100个月,复发11例(44％),其中Simpson Ⅰ级切除复发2例、SimpsonⅡ级切除3例,SimpsonⅢ级切除6例患者均复发.结论头颅CT、MRI等影像学检查有助于恶性脑膜瘤的诊断,治疗方法以手术切除为主,辅以放、化疗,但术后多复发,生存时间较短,考虑与肿瘤的分化程度有关.
목적 탐토악성뇌막류적진단여치료방법.방법 대아원29례악성뇌막류환자적림상자료진행회고성분석.결과 29례환자행SimpsonⅠ급절제15례、Ⅱ급절제8례、Ⅲ급절제6례.수방25례,수방시간20～100개월,복발11례(44％),기중Simpson Ⅰ급절제복발2례、SimpsonⅡ급절제3례,SimpsonⅢ급절제6례환자균복발.결론 두로CT、MRI등영상학검사유조우악성뇌막류적진단,치료방법이수술절제위주,보이방、화료,단술후다복발,생존시간교단,고필여종류적분화정도유관.
Objective To explore the methods for diagnosis and treatment of malignant meningioma.Methods The clinical data of twenty-nine patients with malignant meningioma were retrospectively analyzed.Results Among the 29 patients,15 underwent Simpson Ⅰ resection,8 underwent Simpson Ⅱ resection and 6 had Simpson Ⅲ resection.Among these patients,Twenty-five cases were successfully followed up for 20-100 months.There are 11 cases who occurred relapse (44％),of whom 2 received Simpson Ⅰ resection,3 received Simpson Ⅱ resection and all the 6 cases receiving Simpson Ⅲ cases.Conclusion Head CT and MRI examination is helpful to diagnose malignant meningioma.The treatment mainly involved surgical resection combined with radiation and chemotherapy,with high postoperative recurrence rate and short survival time depending on the differentiation of the tumor.