中国实用神经疾病杂志2017,Vol.20Issue(3):1-4,4.
非典型性脑膜瘤及恶性脑膜瘤预后的相关因素分析
Prognostic factors for atypical or malignant meningioma post-surgery
王宏昭 1赵彦标 1高超 1马琳 2王焕宇 2黄楹2
作者信息
- 1. 天津海滨人民医院神经外科 天津 300280
- 2. 天津市环湖医院神经外科十四病区 天津 300000
- 折叠
摘要
Abstract
Objective To summarize the experience in managing patients with an atypical or malignant meningioma in our hospital,with a specific focus on determining the prognostic factors for treatment outcome.Methods Ninety-six patients from Oc-tober 2004 to February 2014 with atypical or malignant meningioma were treated in our hospital.The general material including gender,age and clinical material including Karnofsky Performance Scale score,overall survival,progression-free survival were col-lected for further study.Results Of all the 96 patients,68 cases were atypical meningioma and 28 cases were malignant meningio-ma.Total resection(Simpson grade Ⅰ-Ⅲ)was achieved 80.9% of atypical meningioma(n=52)and 67.9% of malignant meningi-oma(n=12).31(44.1%)patients underwent in the atypical group underwent radiotherapy after surgery,while 19(71.4%)pa-tients underwent radiotherapy in the malignant group.The median follow-up duration of all 96 patients was 25 months.The malig-nant meningioma group had lower overall survival.Progression-free survival for patients in the malignant group who received post-operative radiotherapy was longer than that for those who did not receive radiotherapy.Conclusion Total resection of the tumor is important in the atypical and malignant meningioma groups.Also,radiotherapy after surgery could extend the life of patients.关键词
非典型性脑膜瘤/恶性脑膜瘤/手术治疗/放疗Key words
Atypical meningioma/Malignant meningioma/Surgery/Radiotherapy分类
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王宏昭,赵彦标,高超,马琳,王焕宇,黄楹..非典型性脑膜瘤及恶性脑膜瘤预后的相关因素分析[J].中国实用神经疾病杂志,2017,20(3):1-4,4.