摘要
目的探讨脑膜瘤术前血管栓塞的临床价值。方法脑膜瘤68例,前期治疗的36例术前未行脑血管造影及肿瘤血管栓塞(对照组),后期治疗的32例术前行脑血管造影及肿瘤供血血管栓塞(栓塞组),观察两组患者术中出血、手术时间、肿瘤切除程度、出院时GOS评分差异,记录栓塞相关并发症。结果栓塞组术中出血量明显少于对照组(P<0.05),肿瘤切除程度优于对照组(P<0.05);两组手术时间、出院时GOS评分差异无统计学意义(P均>0.05)。结论脑膜瘤术前栓塞可减少手术出血、提高肿瘤切除率,但应重视其可能引起的并发症。
Objective To investigate the clinical value of preoperative embolization of meningiomas .Methods Of sixty-eight patients with meningiomas ,thirty-six patients who did not receive cerebral angiography and embolization before surgical operation in early days were enrolled into control group ,thirty-two patients who underwent preoperative cerebral angiography and embolization in later days were enrolled into embolization .The intraoperative blood loss , surgical time,extent of tumor resection ,GOS score at hospital discharge were compared between two groups ,and the complications of embolization were recorded .Results The intraoperative blood loss in the embolization group was less than that in the control group（P〈0.05）,and the extent of tumor resection in the embolization group was superior to that in the control group （ P〈0 .05 ） .There was no significant difference in surgical time and GOS score at hospital discharge between two groups （ P〈0 .05 ） .Conclusion The preoperative embolization of meningiomas can lessen the intraoperative blood loss ,and increase the resection rate of tumor .However,the complications of embolization can not be ignored .
出处
《广西医学》
CAS
2014年第5期614-617,共4页
Guangxi Medical Journal
关键词
脑膜瘤
脑血管造影
栓塞治疗
Meningioma
Cerebral angiography
Embolization
