摘要
目的 :对 2 35 2例经手术病理确诊的颅内肿瘤临床病理频发率回顾研究。方法 :参照国内外对肿瘤较通用的病理分类、命名 ,在统一诊断标准的基础上 ,对我科 2 35 2例颅内肿瘤病理类型等进行分析与国内外部分报告试作比较 ,探讨本组肿瘤临床病理频发率特点。结果 :常见颅内肿瘤病理类型发生率顺列 (胶质瘤、脑膜瘤、垂体瘤、先天性肿瘤、神经纤维瘤 )及临床发病特点与国内外各组报告基本一致。各类型肿瘤发生率之间比较存在部分差异 ;脑胶质瘤发生率 4 1 88% ,近于北京神经外科研究所 (40 4 9% )及Cushing组(42 6 % ) ;高于哈尔滨医大 (39 92 % )及上海神经病学研究所 (37 18% ) ;低于天津医学院 (45 38% )、四川医学院 (5 6 37% )、山东医学院 (5 2 4 5 % )等组。在国内各组中发生率偏低。于国外组低于Grant(美 )(5 0 2 % )、Sloof(美 ) (49 5 2 % )及Olivocrona(瑞典 ) (46 8% )组 ,高于桂重次 (日 ) (32 2 % )的报告。脑膜瘤(2 6 0 6 % ) ,明显高于国内组 (10 8%～ 2 2 6 4 % )。垂体瘤 (11 4 3% )与国内各组 (7 0 8%～ 12 5 2 % )比较居中偏高。先天性肿瘤 (7 95 % )属高发组 ,神经纤维瘤 (5 2 3% ) ,在国内各组 (5 0 %～ 12 17% )发生率偏低。而转移瘤 (3 6 1% )则是国内各组中 (4
Objective:To study backward the incidence and clinical pathological types according to 2352 cases with brain tumors which have been proved after operation.Method:Comparing to part of domestic and foreign reports to analyse and study the pathological types and characteristic of 2352 cases with brain tumors based on a popular diagnosis and classification standard which has been accepted by most.Result:The incidence seqence of several common tumors is same to domestic and foreign reports,so does the clinical characteristic,such as glioma,meningioma,pituitary adenoma,embryonal tumors and neurofibroma.But the incidence itself is diffent from them:the glioma is 41.88%,near to the figure of Beijing Neurosurgery Institute(40.49%) and Cushing s reports (42.6%),higher than Haerbin Medical University(39.92%)and Shanghai Neurological Dieases Institute(37.18%),lower than Tianjin Medical College(45.38%),Sichuan Medical College (56.37%) and Shandong Medical College(52.42%).And it is also lower than Grant(U.S)(50.2%),Sloof(U.S)(49.52%)and Olivocrona (Sweden)(46.8%),but higher than Guichongci (Japan)(32.2%).Meningioma is 26.06%,higer than others in China,so does the putuiary adenoma (11.43%)and embryonal tumors(7.95%).Comparing to the other civil reports,neurofibroma is lower,and metastases is the lowest.Conclusions:The difference among every groups is not totally based on disparity of region,different hospitals and clinical conditions,different patients and cases are also important reason.Different standard of classification and diagnosis can affect the result,too.
出处
《内蒙古医学杂志》
2002年第4期283-287,共5页
Inner Mongolia Medical Journal
