摘要
目的探讨巨大脑膜瘤患者的临床表现、外科手术及复发情况。方法回顾性分析我科28例巨大脑膜瘤手术患者,男11例,女17例,平均年龄54.6岁。结果按照Simpson分级标准,Ⅰ级切除20例,Ⅱ级切除5例,Ⅲ级切除3例,对于次全切除患者术后补充伽玛刀治疗。结论对于巨大脑膜瘤,肿瘤的大小、切除程度、肿瘤位置均对肿瘤复发和患者预后有重要影响,显微外科手术治疗仍是巨大脑膜瘤的首选治疗。
Objective To analyze clinical manifestation, surgical treament, and recurrence of patients with huge meningio- mas. Methods 28 surgical cases of huge meningiomas in our department were retrospectively reviewed. There were 11 male and 17 female. The average age was 54.6years. Results Simpson Ⅰ resection was performed on 20 cases, Simpson Ⅱ resection was performed on 5 cases, and Simpson Ⅲ resection was done on 3 cases. Gamma knife was given in the subtotal resection pa- tients as a supplement therapy. Conclusion Although there are many factors of recurrence for huge meningiomas, the range of surgical resection,tumor size,and tumor location are still the important factors for recrudescence and prognosis. Microsurgery is preferred for huge meningioma.
出处
《中国实用神经疾病杂志》
2014年第6期52-54,共3页
Chinese Journal of Practical Nervous Diseases
关键词
巨大脑膜瘤
显微手术
Huge meningioma
Meningioma
Simpson grade
Microsurgery
