33例颅内多发性胶质瘤的诊断与治疗  

Diagnosis and Treatment of Multiple Glioma

作　　者：殷寿长[1] 辛泉[1] 苑玉清[1] 张新宇[1] 王文煜[1] 吕涛[1] 

机构地区：[1]成都市第二人民医院神经外科,四川成都610017

出　　处：《昆明医学院学报》2009年第7期94-96,共3页Journal of Kunming Medical College

摘　　要：目的分析多发胶质瘤的临床表现,探讨该疾病的诊断及治疗.方法对33例多发性胶质瘤的临床表现、影像资料、治疗方法、病理结果和预后等进行分析.结果8例1次切除全部病灶,其余施行肿瘤大部切除或部分切除.平均住院为时间23d.术后好转25例,症状加重2例,死亡3例.随访时间为3月～5a,2例生存4a,3例至今已3a尚健在、无复发.结论多发性胶质瘤易被误诊为转移瘤,确诊依赖于病理诊断.手术切除程度是决定预后的重要因素,术后放化疗是控制及延迟复发的重要辅助治疗手段.Objective To explore the diagnosis and treatment of multiple gliomas by analyzing its clinical informations. Methods The clinical manifestations, imaging, treatment, pathological of 33 pateints with mutiple gliomas result and prognosis were systematicly analyzed. Results One patient was implemented Ceshi cistern shunt. All lesions were resected in 8 cases, and near-total or subtotal resections in the others. The average length of stay was 23 days. 25 patients were improved in the clinical symptom, 2 patients became worse and 3 patients died after the surgery. The following-up from 6 months to 2 years showed that 2 patients survived 4 years, 3 cases had survived 3 years without recurrence. Conclusions Multiple gliomas is prone to be misdiagnosed as metastatic tumor. Confirmed diagnosis depends on pathological examination. The degree of operational incision is an important factor for prognosis. Post-operational accessory radiotherapy and chemo therapy are important adjuvant ways to inhibit growth of tumor and postpone the recurrence of tumor.

关 键 词：多发性胶质瘤 诊断 治疗 

分 类 号：R651.15[医药卫生—外科学]