中华神经医学杂志
中華神經醫學雜誌
중화신경의학잡지
CHINESE JOURNAL OF NEUROMEDICINE
2013年
3期
256-261
,共6页
覃成箭%徐伟伟%龙青山%马亚宾%陈祥荣%王向宇
覃成箭%徐偉偉%龍青山%馬亞賓%陳祥榮%王嚮宇
담성전%서위위%룡청산%마아빈%진상영%왕향우
脑膜瘤%术前影像%手术结果%预后
腦膜瘤%術前影像%手術結果%預後
뇌막류%술전영상%수술결과%예후
Meningioma%Preoperative image information%Surgical outcome%Prognosis
目的 探讨脑膜瘤的术前影像信息对肿瘤切除程度、手术并发症及死亡情况的影响. 方法 回顾性分析南方医科大学珠江医院神经外科自2008年1月至2011年6月收治的的172例脑膜瘤手术患者的影像资料,包括肿瘤部位、肿瘤大小、神经血管包绕、肿瘤侵袭性、肿瘤边界、肿瘤形状、肿瘤增强程度、瘤周水肿,筛选出影响肿瘤切除程度、手术并发症及死亡的因素,然后对有统计学意义的因素进行Logistic逐步回归分析. 结果 肿瘤部位、肿瘤大小、肿瘤侵袭性、肿瘤形状及肿瘤边界是影响肿瘤是否残留的5个独立危险因素,其中肿瘤侵袭性是主要因素;肿瘤部位、肿瘤大小、神经血管包绕、肿瘤增强程度是影响是否出现手术并发症的4个独立危险因素,其中肿瘤部位是主要因素;肿瘤部位、肿瘤大小是影响是否死亡的2个独立危险因素,其中肿瘤部位是主要因素. 结论 脑膜瘤术前影像信息特别是肿瘤部位、肿瘤大小、肿瘤侵袭性、神经血管包绕这4个主要因素能够比较客观、准确地判断和评估脑膜瘤切除程度、手术并发症及死亡情况,其中肿瘤侵袭性是肿瘤残留的最重要影响因素,而肿瘤部位是手术并发症、死亡的最重要因素.
目的 探討腦膜瘤的術前影像信息對腫瘤切除程度、手術併髮癥及死亡情況的影響. 方法 迴顧性分析南方醫科大學珠江醫院神經外科自2008年1月至2011年6月收治的的172例腦膜瘤手術患者的影像資料,包括腫瘤部位、腫瘤大小、神經血管包繞、腫瘤侵襲性、腫瘤邊界、腫瘤形狀、腫瘤增彊程度、瘤週水腫,篩選齣影響腫瘤切除程度、手術併髮癥及死亡的因素,然後對有統計學意義的因素進行Logistic逐步迴歸分析. 結果 腫瘤部位、腫瘤大小、腫瘤侵襲性、腫瘤形狀及腫瘤邊界是影響腫瘤是否殘留的5箇獨立危險因素,其中腫瘤侵襲性是主要因素;腫瘤部位、腫瘤大小、神經血管包繞、腫瘤增彊程度是影響是否齣現手術併髮癥的4箇獨立危險因素,其中腫瘤部位是主要因素;腫瘤部位、腫瘤大小是影響是否死亡的2箇獨立危險因素,其中腫瘤部位是主要因素. 結論 腦膜瘤術前影像信息特彆是腫瘤部位、腫瘤大小、腫瘤侵襲性、神經血管包繞這4箇主要因素能夠比較客觀、準確地判斷和評估腦膜瘤切除程度、手術併髮癥及死亡情況,其中腫瘤侵襲性是腫瘤殘留的最重要影響因素,而腫瘤部位是手術併髮癥、死亡的最重要因素.
목적 탐토뇌막류적술전영상신식대종류절제정도、수술병발증급사망정황적영향. 방법 회고성분석남방의과대학주강의원신경외과자2008년1월지2011년6월수치적적172례뇌막류수술환자적영상자료,포괄종류부위、종류대소、신경혈관포요、종류침습성、종류변계、종류형상、종류증강정도、류주수종,사선출영향종류절제정도、수술병발증급사망적인소,연후대유통계학의의적인소진행Logistic축보회귀분석. 결과 종류부위、종류대소、종류침습성、종류형상급종류변계시영향종류시부잔류적5개독립위험인소,기중종류침습성시주요인소;종류부위、종류대소、신경혈관포요、종류증강정도시영향시부출현수술병발증적4개독립위험인소,기중종류부위시주요인소;종류부위、종류대소시영향시부사망적2개독립위험인소,기중종류부위시주요인소. 결론 뇌막류술전영상신식특별시종류부위、종류대소、종류침습성、신경혈관포요저4개주요인소능구비교객관、준학지판단화평고뇌막류절제정도、수술병발증급사망정황,기중종류침습성시종류잔류적최중요영향인소,이종류부위시수술병발증、사망적최중요인소.
Objective To investigate the role of preoperative image information in tumor resection degrees,surgical complications and mortality of patients with meningiomas.Methods One hundred and seventy-two patients with meningiomas,admitted to our hospital from January 2008 to June 2011,were chosen in our study; the complete image informations,including tumor location,tumor size,nerves and vessels wraping around tumor or tumor wraping around nerves and vessels,tumor invasiveness,tumor margin,tumor shape,degrees of tumor enhancement and peritumoral brain edema,were retrospectively analyzed; univariate factor Chi-square test was performed to analyze the factors influencing the extent of tumor resection,surgical complications and death.Binary logistic stepwise regression analysis was performed to analyze statistical significance of the factors.Results Tumor location,tumor size,tumor invasiveness,tumor shape and tumor margin were the five independent risk factors of tumor residual,and tumor invasiveness was the primary risk factor.Tumor location,tumor size,nerves and vessels wraping around tumor or tumor wraping around nerves and vessels,and degrees of tumor enhancement were the four independent risk factors of surgical complications,and tumor location was the primary risk factor.Tumor location and tumor size were two independent risk factors of morbidity,and tumor location was the primary risk factor of mortality.Conclusion Preoperative image information of meningioma,especially the four primary factors (tumor location,tumor size,tumor invasiveness,and nerves and vessels wraping around tumor or tumor wraping around nerves and vessels),may objectively and accurately to estimate and evaluate meningioma resection degree,surgicalcomplications and mortality.