摘要
目的探讨巨大脑膜瘤的诊断及治疗经验。方法回顾性分析我院2003年1月至2008年1月39例巨大脑膜瘤(直径≥7.0 cm)的临床资料。结果本组39例病例中,有33例(84.6%)曾失去早期诊断的机会,其中27例(69.2%)由于患者未予采纳医生意见而未做影像学检查,失去早期诊断机会,6例(15.4%)因未被建议行任何辅助检查而丧失早期诊断机会;所有病例均实现了肿瘤的完全切除,34例患者(87.2%)恢复良好,5例患者(12.8%)术后并发术腔血肿,及时发现并行术腔引流术,二次手术后患者恢复良好。结论提高对颅内肿瘤的警惕性可以大大增加巨大脑膜瘤病例的早期诊断率;显微手术治疗巨大脑膜瘤效果良好;细致的术后观察可以及时发现并发症,早期处理,以提高疗效。
Objective To summary the experience of the diagnosis and treatment of giant meningioma. Method The clinical data of 39 patients with the giant meningiomas（ diameter ≥7.0cm） in our department from January 2003 to January 2008 were analyzed retrospectively. Results Among all the cases,there were 33 patients（84.6% ） who missed the chances to detect the tumor in their brains earlier. 27 patients（69.2% ） lost the chances for not taking tire doctor＇ s advice for auxiliary examination of imageology;6 patients（ 15.4% ）didn＇t receive the advice for taking CT or MRI scanning from consuhant. Total resection was achieved in all the cases,34 patients（87.2% ） recovered well,5 patients（ 12.8% ） suffering from the complications of subdural hematoma in field of operation were detected in time, the 5 eases then were cured after the operation of trepanation and drainage. Conclusion If we are more sensitive about brain tumor, the proportion of the early diagnosis in patients with giant meningioma will be higher. Patients with giant meningioma can obtain perfect prognosis if they are undergone microsurgery. Careful observations to the paients after operation can efficiently help us find and cure the complications in time,and improve the therapeutic effect of the patients.
出处
《中风与神经疾病杂志》
CAS
CSCD
北大核心
2008年第5期614-616,共3页
Journal of Apoplexy and Nervous Diseases
