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显微手术治疗鞍旁脑膜瘤的临床效果及远期复发研究

杨富强 史瑞娜 林贵军

中国医学前沿杂志(电子版)Issue(6):53-56,4.
中国医学前沿杂志(电子版)Issue(6):53-56,4.

显微手术治疗鞍旁脑膜瘤的临床效果及远期复发研究

Study on clinical effect and recurrence of micro operation treatment of parasellar meningiomas

杨富强 1史瑞娜 2林贵军1

作者信息

  • 1. 航天中心医院 神经外科,北京 100049
  • 2. 航天中心医院 老年医学二科,北京 100049
  • 折叠

摘要

Abstract

Objective To study the microscopic operation treatment of sellar meningioma clinical effect and influence factors of recurrence. Method Retrospective analysis of our hospital from November 2008 to November 2012, 268 patients with parasagittal meningiomas treated in our department in patients with clinical data, all patients were treated with microsurgical operation treatment, observe and analyze the extent of resection, postoperative mortality of operation and clinical complications, quality of life of the patients with tumor recurrence, etc. Result After different range of resection, patients KPS contrast show signiifcant difference (P < 0.05). The higher the WHO classification, the postoperative recurrence rate was higher, Cavernous sinus violation less postoperative recurrence in patients with a significant rise in patients with cavernous sinus, with signiifcant difference (P<0.05), between the variant and atypical meningioma patients postoperative recurrence rate is signiifcantly increased in patients with benign meningiomas, has the extremely signiifcant difference (P<0.01). Conclusion The preferred treatment for patients with parasellar meningioma operation excision, cavernous sinus invasion in patients should be closely observed, greater risk of anaplastic and atypical meningioma recurrence, should be routine in postoperative radiotherapy. Micro operation treatment of parasellar meningioma long-term efifcacy, should be popularized.

关键词

肿瘤复发/显微手术/鞍旁脑膜瘤/疗效

Key words

Tumor recurrence/Microsurgical operation/Parasellar meningioma/Curative effect

引用本文复制引用

杨富强,史瑞娜,林贵军..显微手术治疗鞍旁脑膜瘤的临床效果及远期复发研究[J].中国医学前沿杂志(电子版),2014,(6):53-56,4.

中国医学前沿杂志(电子版)

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