摘要
目的 总结老年人脑膜瘤的临床特点及影响手术效果的各种因素。方法 对我院１９９０年至１９９８年住院的５２例６０岁以上的老年脑膜瘤病人的临床资料进行回顾分析。结果 手术后３０天内死亡３例（５．８％），术后效果良好３８例（７３％）。＜７０岁与≥７０岁年龄组，术前存在伴发病有与无伴发病组，瘤径＜４ｃｍ与≥４ｃｍ组术后良好率相近；凸面脑膜瘤组术后良好率明显优于矢状窦旁及深部、颅底部脑膜瘤组；术前无或仅有较轻功能障碍组术后良好率明显优于术前存在明显神经功能障碍组病人；术前对脑血管造影中血供丰富的脑膜瘤的颈外供血动脉主要分支进行栓塞，其术中出血量明显低于本组术中平均出血量。结论 对于老年脑膜瘤病人应及早予以积极手术治疗；肿瘤部位及术前神经功能状态是决定老年脑膜瘤病人手术效果的重要因素。
Objective: To demonstrate the factors influencing the operative effects of the elderly patients with meningiomas. Methods Fifty two patients, aged 60 and over,underwent surgical resection of meningiomas from 1990 to 1998. Their clinical manifestations were summarized. The correlation between main preoperative factors and outcomes were analyzed retrospectively. Results 3 patients were dead within 30 days after operation with an operative mortality of 5. 8 %, 38(73%) patients won satisfying outcomes. Among them, the patients with a tumor located over the cerebral convexity or with a slight preoperative neurological disturbance won better outcomes postoperatively. Conclusions These results supported to give an aggressive therapeutic approach to the elderly patients with meningioma. The best outcome is seen in the patients with a tumor located in conical convexity and in those who do not have serious preoperative neurological disturbance.
出处
《老年医学与保健》
CAS
2000年第1期21-23,共3页
Geriatrics & Health Care
