CAJ | 학술논문

目的：探讨脑膜瘤患者术后并发症的相关影响因素。方法回顾性分析300例经手术和病理证实的脑膜瘤患者的临床和影像资料，依据脑膜瘤术后是否发生并发症分为2组；分别对患者年龄、MRI 影像特征和术后并发症发生情况进行单因素和多因素分析。结果患者年龄、肿瘤部位、肿瘤大小、肿瘤形态、肿瘤包绕神经血管和肿瘤强化程度2组间均有显著性差异(P <0.05)，是脑膜瘤术后并发症的影响因素；多因素 Logistic 回归分析显示：肿瘤部位、肿瘤大小、肿瘤包绕神经血管和肿瘤强化程度是脑膜瘤患者术后并发症的独立风险因素。结论MRI 影像特征可作为脑膜瘤术后并发症的预测指标，能够为脑膜瘤的有效治疗和预后评估提供依据。
목적：탐토뇌막류환자술후병발증적상관영향인소。방법회고성분석300례경수술화병리증실적뇌막류환자적림상화영상자료，의거뇌막류술후시부발생병발증분위2조；분별대환자년령、MRI 영상특정화술후병발증발생정황진행단인소화다인소분석。결과환자년령、종류부위、종류대소、종류형태、종류포요신경혈관화종류강화정도2조간균유현저성차이(P <0.05)，시뇌막류술후병발증적영향인소；다인소 Logistic 회귀분석현시：종류부위、종류대소、종류포요신경혈관화종류강화정도시뇌막류환자술후병발증적독립풍험인소。결론MRI 영상특정가작위뇌막류술후병발증적예측지표，능구위뇌막류적유효치료화예후평고제공의거。
Objective To investigate the risk factors that may affect postoperative complications in patients with meningiomas. Methods Of all 300 patients with diagnosed pathologically intracranial meningiomas undergoing resection were retrospectively ana-lyzed in terms of clinical datas and radiological features of preoperative MRI.These patients were divided into two groups according to whether postoperative complications occurred after tumor resection.Both univariate and multivariate regression models were used to analyze the effect of patient age and several MRI characteristics on postoperative complications.Results There were several signif-icant differences between the two groups in patient age,tumor location,tumor size,shape of tumor,wrapping around nerves and blood vessels,and tumor enhancement (P <0.05).According to the results of multivariate Logistic regression analysis,tumor loca-tion,tumor size,wrapping around nerves and blood vessels,and tumor enhancement were independently identified risk factors in the prediction of postoperative complications associated with meningioma resection.Conclusion The features of preoperative MRI may be useful for clinicians in predicting postoperative complications of intracranial meningiomas,and can provide imaging evdience for effective treatment and prognostic assessment in patients with meningiomas.