CAJ | 학술논문

目的探讨侵袭性脑膜瘤的临床特点与手术治疗方法。方法回顾性分析我院2008年6月到2011年1月期间诊治的49例侵袭性脑膜瘤患者的临床表现、影像学检查、病理学检查及手术治疗方法等资料。结果49例患者中,临床首发症状表现为颅内压增高26例,颅神经功能障碍13例,癫痫5例,其他5例。其影像学特征表现为10例骨骼、肌肉受侵犯,21例硬脑膜受侵犯,8例蛛网膜受侵犯,10例颅骨增生；21例脑-瘤界面完全或部分消失,28例肿瘤边界毛糙模糊,结节状、伪足状突起。手术切除SimpsonⅠ级24例,Ⅱ级19例,Ⅲ级及以上6例。病理为WHOⅠ级32例,Ⅱ级8例,Ⅲ级9例。结论侵袭性脑膜瘤临床影像学特征较为特殊、典型,可为手术有效治疗提供参考。
목적탐토침습성뇌막류적림상특점여수술치료방법。방법회고성분석아원2008년6월도2011년1월기간진치적49례침습성뇌막류환자적림상표현、영상학검사、병이학검사급수술치료방법등자료。결과49례환자중,림상수발증상표현위로내압증고26례,로신경공능장애13례,전간5례,기타5례。기영상학특정표현위10례골격、기육수침범,21례경뇌막수침범,8례주망막수침범,10례로골증생；21례뇌-류계면완전혹부분소실,28례종류변계모조모호,결절상、위족상돌기。수술절제SimpsonⅠ급24례,Ⅱ급19례,Ⅲ급급이상6례。병리위WHOⅠ급32례,Ⅱ급8례,Ⅲ급9례。결론침습성뇌막류림상영상학특정교위특수、전형,가위수술유효치료제공삼고。
Objective: To investigate clinical features and surgical treatment of invasive meningiomas. Methods:49 cases of invasive meningiomas in patients with clinical manifestations, imaging studies, pathology and surgical treatment methods were analyzed retrospectively.Results: In 49 patients , the first clinical symptoms of intracranial hypertension are 26 cases, 13 cases of cranial nerve dysfunction , 5 cases of epilepsy , the other of 5 cases . The performance of its imaging features of 10 cases of bone , muscle violations , 21 cases of dural violations , 8 cases of arachnoid violations , 10 cases of skull hyperplasia ; 21 cases of brain - tumor interface complete or partial disappearance of 28 cases the tumor boundary is rough and fuzzy , nodular, pseudopodia -like protuberances . The surgical removal of 24 cases of Simpson grade Ⅰ , 19 cases of grade II , 6 cases of grade III and above . Pathology as WHO Ⅰ level of 32 cases , 8 cases of grade Ⅱ , 9 cases of Ⅲ grade .Conclusion: Clinical imaging features of invasive meningiomas rather peculiar , typical , and can provide a reference for effective surgical treatment.