幕上脑胶质瘤100例术后并发症临床研究  

Clinical Study of Postoperation Complications in 100 Patients with Supratentorial Cerebral Hemisphere Gliomas

作　　者：王孜[1] 谢坚[2] 江涛[2] 浦松[3] 梁雄利[1] 

机构地区：[1]北京电力医院神经外科,100070 [2]北京天坛医院胶质瘤治疗中心,100050 [3]哈尔滨医科大学附属第一临床医学院神经外科,150001

出　　处：《医学研究杂志》2010年第1期80-83,共4页Journal of Medical Research

摘　　要：目的分析幕上脑胶质瘤患者术后并发症情况,为临床并发症分类及治疗提供客观依据。方法回顾性分析外科住院手术治疗、有完整病案记录和随访记录的100例幕上大脑半球胶质瘤患者的资料。将术后并发症分类为神经学、局部、系统并发症,重点分析术后神经学并发症发生的原因及防治方法。结果通过术前对病人情况的完整评估,选择适宜的手术入路,恰当的手术方法及技术手段,可以使术后KPS评分较术前明显改善,达到较好的手术效果。结论神经外科医生必须根据病史、神经学症状与体征、术前检查,制订完善的个体化的手术计划。全面掌握手术解剖包括病理解剖和功能解剖。预见并尽量避免术后并发症的发生,及时合理地治疗术后并发症。ObjectiveTo study the condition of postoperation complications in patients with supratentorial cerebral hemisphere gliomas, and to provide objective references for clinical classification and treatment. MethodsData of 100 patients with supratentorial cerebral hemisphere gliomas, treated surgicaly in the department of neurosurgery, gliomas center of Tiantan hospital from June 2006 to December 2007, were reviewed and analyzed.We classified postoperative complications as neurological,regional and systemic complications, and especially mainly analyzed the reasons of oceching,prevention and cure of the neurological postoperative complications.ResultsThrough the complete preoperative evaluation in patients to choose the proper operative route, methods and technique means can improve postoperative KPS score compare with preoperative obviously ,which can achieve better operation result.ConclusionNeurosurgeon must design consummately individualization operation plan depending on patient history, neurology symptoms, physical sign,and preoperative check,and understand the operation anatomy including the pathology anatomy and function anatomy . They must foresee the postoperative complications, prevent it as far as possible, and treat it reasonable in time.

关 键 词：胶质瘤 并发症 外科手术 

分 类 号：R739.41[医药卫生—肿瘤] R169.42[医药卫生—临床医学]