摘要
目的：分析研究影响脑膜瘤根治的因素。方法：统计分析１８例复发脑膜瘤的复发原因和复发时间。结果：１８例复发脑膜瘤占同期经手术治疗的１８７例脑膜瘤的９６２％。男性６例，女性１２例。复发时间为术后６月～９年，平均２年４月。其中６５％在１～２年复发。全部复发脑膜瘤均行二次手术，全切除１０例，次全切除５例，大部切除３例，无一例死亡及严重并发症。结论：肿瘤部分残留是不能彻底根治的主要原因。若选择合适手术入路、术野宽阔、手术视角扩大，熟练显微外科技术，会减少和消除肿瘤残留，增加脑膜瘤根治。彻底切除肿瘤侵袭或可能侵袭的硬膜、颅骨、静脉窦及脑组织，可避免肿瘤复发。
Objective: To analyse the factors that influence curative outcome of meningiomas. Methods: The recurrence reasons and recurrence time were studied in 18 cases with recurrent meningiomas . Results : Of the 187 cases of meningiomas, 18 cases were recurrent meningiomas , 6 cases were male and 12 cases female . The recurrence interval was between 6 months and 9 years, with a median of 2 years and 4 months. 65% of cases recurred in 1 to 2 years after first operation . Second surgical treatment were performed in all recurrent cases, total removal in 10 cases, subtatal removal in 5 cases and partial removal in 3 caese. There were no operative death and serious complications. Conclusion: The primary factor led to the tumor recurrence is the residual of tumor. Choosing appropriate approach, expanding the field of operative vision, mastering microsurgery technique proficiently seem to be beneficial to decrease and eliminate the residual of tumor and to increase radical cure rate of meningioma. The dura, skull, sinus and brain that are clearly invaded or probably invaded by the tumor should be removed completely,the tumor recurrence could be averted and the goal of true radical cure could be achieved.
出处
《宁夏医学院学报》
1998年第3期6-7,16,共3页
Journal of Ningxia Medical College
