囊性脑膜瘤的诊断与治疗  

Diagnosis and treatment of cystic meningioma

作　　者：万新[1] 姜冰[1] 马志明[1] 王君宇[1] 侯永宏[1] 刘运生[1] 

机构地区：[1]中南大学湘雅医院神经外科,长沙410008

出　　处：《中南大学学报（医学版）》2010年第9期1009-1012,共4页Journal of Central South University ：Medical Science

摘　　要：目的:探讨囊性脑膜瘤的成因、诊断和手术要点。方法:回顾性分析8例囊性脑膜瘤患者的临床资料,并与同期实质性脑膜瘤发病部位及全切治愈率进行比较。结果:8例患者肿瘤均全切,无严重手术并发症及死亡。与实质性脑膜瘤比较,囊性脑膜瘤幕上发病率高,差异有统计学意义(χ2=2.618,P<0.05);全切治愈率比较差异无统计学意义(χ2=0.010,P>0.05)。结论:肿瘤结节与囊壁的彻底切除是防止术后复发的关键。Objective To explore the pathogenetic mechanism of cystic meningioma and the key to its diagnosis and operation.Methods Clinical data of 8 patients with cystic meningioma were analyzed retrospectively.The occuring position and cure rate of cystic meningioma were compared with those of solid meningioma in the corresponding period.Results All patients were subjected to total resection of tumor parenchyma and cystic wall.No operative death and severe complications occurred.The incidence of uppertentorial region of cystic meningioma was higher than that of solid meningioma,and the difference was significant（χ^2=2.618,P〈0.05）.The cure rate was not significantly different between cystic meningioma and solid meningioma（χ^2=0.010,P〉0.05）.Conclusion Removing tumor totally is the key to preventing its recurrence.

关 键 词：囊性脑膜瘤 诊断 治疗 

分 类 号：R739.45[医药卫生—肿瘤]