对比分析幕上与幕下脉络丛乳头状瘤  

Comparative analysis of supratentorial and infratentorial choroid plexus papilloma

作　　者：杨超[1] 孙胜军[2] 边杰[1] 肖道雄[3] 刘晶[4] 

机构地区：[1]大连医科大学附属第二医院放射科,辽宁大连116027 [2]首都医科大学附属北京天坛医院放射科,北京100050 [3]赣州市人民医院放射科,江西赣州341000 [4]大连医科大学护理系,辽宁大连116044

出　　处：《中国医学影像技术》2012年第5期848-851,共4页Chinese Journal of Medical Imaging Technology

摘　　要：目的对比分析幕上与幕下脉络丛乳头状瘤在患者一般资料及脑积水方面的差异。方法回顾性分析40例经病理证实的脉络丛乳头状瘤患者的影像学资料,根据肿瘤发生部位分为幕上组(19例)和幕下组(21例),记录患者一般资料,统计伴发脑积水的例数,并进一步观察治疗后脑积水的缓解情况。结果幕上、幕下组的男女比例分别为15∶4和10∶11,差异有统计学意义(P<0.05);幕上、幕下组的平均年龄分别为(7.2±2.2)岁和(39.4±3.2)岁,差异有统计学意义(P<0.05);幕上、幕下组伴脑积水的例数分别为14例和5例,差异有统计学意义(P<0.05)。术后7天复查,幕上组4例脑积水缓解(4/14),幕下组4例脑积水缓解(4/5)。结论幕上与幕下脉络丛乳头状瘤在患者性别、年龄分布和伴发脑积水方面均存在明显差别。幕上脉络丛乳头状瘤更易伴发脑积水,且多为交通性脑积水,术后不易缓解;幕下脑积水多为梗阻性脑积水,术后易缓解。Objective To compare the general information and hydrocephalus of patients with supratentorial or infratento- rial choroid plexus papilloma （CPP）. Methods Totally 40 patients with CPP confirmed by pathology were collected, and were divided into supratentorial CPP group （n=19） and infratentorial CPP group （n = 21）. The general information of these patients were recorded, and the number of CPP patients accompanied with hydrocephalus was counted. The postoperative remission of hydrocephalus was observed. Results The ratio of male to female in supratentorial CPP group and infratentorial CPP group was 15：4 and 10：11, respectively （P〈0.05）. The average age of patients in supratentorial CPP group （7.24-2.2） was lower than that of infratentorial CPP group （39.4±3.2, P〈0.05）. There was 14 patients in CPP patients accompanied with hydrocephalus in supratentorial CPP group, while only 5 in infratentorial CPP group （P〈0.05）. Postoperative remission of hydrocephalus was observed in 4 cases （4/14） in supratentorial CPP group and 4 （4/5） in infratentorial CPP group. Conclusion There are obvious differences of the patients＂ gender, age distribution, and hydrocephalus between supratentorial and infratentorial CPP. Hydrocephalus is more often observed in patients with supratentorial than with infratentorial CPP. Communicating hydrocephalus often occurred in patients with supratentorial CPP, and the remission of hydrocephalus was difficult after surgery operation. Obstructive hydrocephalus often occurred in patients with infra tentorial CPP, and the remission could be observed commonly after surgery operation.

关 键 词：脑 乳头状瘤 脉络丛 脑积水 体层摄影术 X线计算机 

分 类 号：R814.42[医药卫生—影像医学与核医学] R739.41[医药卫生—放射医学]