摘要
目的探讨影响脑膜瘤手术疗效的因素,为防治脑膜瘤术后复发提供参考依据。方法选取我院经手术治疗且资料齐全的92例脑膜瘤患者,在系统随访的基础上进行回顾性分析,总结术后复发的影响因素。结果单因素统计分析显示,肿瘤的病理分型与手术切除的程度对脑膜瘤的复发有明显影响(P<0.05);其余因素,如年龄、性别、肿瘤部位、肿瘤大小对肿瘤复发无明显影响(P>0.05);多因素统计分析显示,手术的切除程度(P=0.001)与肿瘤病理分型(P=0.013)可为预测复发的独立因素,与手术疗效密切相关。结论脑膜瘤术后复发与肿瘤的手术切除程度、病理分型明显相关;与性别、年龄、肿瘤部位及大小无关,手术切除程度及病理分型为影响手术疗效的因素。
Objective To explore the factors influencing the efficacy of operation on patients with meningioma ,and pro-vide reference for prevention from postoperative recurrence.Methods In our hospital ,the data of 92 patients treated by opera-tion were retrospectively analyzed on the basis of systematic follow-up ,and the factors influencing postoperative recurrence were summarized.Results The single factor analysis found that the pathological type and the extent of operation significantly affected the recurrence of meningiomas（P〈0.05）. Other factors such as age ,gender ,tumor location ,tumor size had no sig-nificant effect（P〉0.05）. Multivariate analysis showed that the extent of resection operation （P=0.001） and pathological clas-sification（P=0.013） could be used as independent prognostic factors predicting recurrence ,and were closely related with the operation effect.Conclusion Postoperative recurrence of meningiomas is significantly related to the extent of resection ,patho-logical type ,but has nothing to do with gender and age ,tumor site. The extent of operation and pathological type can be used as factors influencing the efficacy of operation.
出处
《中国实用神经疾病杂志》
2014年第9期30-31,共2页
Chinese Journal of Practical Nervous Diseases
关键词
脑膜瘤
手术
术后复发
Meningioma
Operation
Recurrence
