脑膜瘤的临床病理分型及预后因素分析  

Clinicopathological Classification and Prognostic Factors of Meningioma

作　　者：潘传敬[1,2] 陈彬[1,2] 汪盛贤[1,2] 刘宽宇 陈志远 

机构地区：[1]成都军区总医院病理科 [2]华西医科大学卫生学院

出　　处：《中国肿瘤临床》1998年第5期349-351,共3页Chinese Journal of Clinical Oncology

基　　金：成都军区科研基金

摘　　要：目的：探讨脑膜瘤的临床病理分型及影响预后的因素。方法：用ＷＨＯ新近的良性、不典型性和恶性脑膜瘤分类，分析１１６例脑膜瘤临床和病理表现。结果：此分类与脑膜瘤复发、生存时间等预后密切相关，实用性强。患者４、５、８、１０年生存率分别为７１．４％，５５．６％，４５．９％和３７．４％，手术复发率为２０．７％，５０．９％有后遗症，１３．５％尤重。复发与手术级别密切相关。结论：Ｃｏｘ模型单因素和多因素分析，病理分类、肿瘤发生部位是影响预后的主要因素，手术级别为间接因素。On the basis of WHO classification of benign,atypical and malignant　meningiomas, the clinicopathological features of 116 cases of meningiomas were　studied. It was found that the WHO classification could be used with pretty high　 applicability as far as recurrence, survival time, longterm curative result of　 surgery were concerned as confirmed by COX model analysis. It was also noted that recurrence was closely related to the extent of the surgery, additionally, the histological type and the site of the tumor were the main factors which affected the prognosis of the tumor by COX model single and multiple factor analysis. CT findings were in good harmony with those of the pathology as evidenced by the clinical data.

关 键 词：脑膜瘤 病理分型 预后 COX模型分析 

分 类 号：R739.45[医药卫生—肿瘤]