摘要
目的探讨脑膜瘤患者出现术后并发症的相关因素;以指导对手术相关风险的评估,降低术后并发症的发生率。方法回顾性分析213例小脑幕上脑膜瘤患者的临床资料。对发生并发症与无并发症患者的性别、年龄、肿瘤部位、镰窦关系、既往高血压、糖尿病、冠心病史、术前心肺功能、手术耗时、术中出血量及住院时间进行比较。结果发生并发症的患者中年龄>55岁、术前检查有心功能异常、肺功能异常、术中出血量>500 ml、手术耗时>3 h者的比率均显著高于无并发症的患者,差异均有统计学意义(P<0.05~0.001)。结论幕上脑膜瘤术后并发症的发生与患者高龄、术前存在心肺功能异常、术中出血量多以及肿瘤体积大、手术困难有明显的关系。
Objective To discusses the influence of various factors on postoperative complications,in order to guide the clinical work to better postoperative preparation to reduce postoperative complications.Methods A retrospective analysis of 213 cases located above the tentorium meningioma patients＇ gender and age,tumor location,relationship with falcial/sinus,history of hypertension and diabetes,coronary heart disease,preoperative cardiopulmonary function test results,operation time,bleeding volume,length of hospitalization and other risk factors.ResultsAge more than 55 years old,preoperative examination showed abnormal cardiac function,abnormal pulmonary function,intraoperative blood loss greater than 500ml,surgery time consuming more than 3 hours of these factors and postoperative complications are closely related to the five factors.Conclusion For patients with supratentorial meningioma postoperative complications,patients with advanced age,the existence of basic cardiopulmonary disease and the greater difficulty of major tumor surgery should be more comprehensive preoperative preparation and examination.
出处
《临床神经外科杂志》
CAS
2017年第3期202-205,共4页
Journal of Clinical Neurosurgery
基金
国家自然科学基金面上项目(81372717
81472354)
关键词
脑膜瘤
围手术期
预后
并发症
meningioma
postoperative period
prognosis
complication
