恶性脑膜瘤29例临床分析  

Clinical diagnostic analysis of simpson intracranial malignant meningioma in 29 cases

作　　者：宋立鹏[1] 曹守明[1] 孟海燕[1] 朱维胜[1] 

机构地区：[1]北京京煤集团总医院神经外科,102300

出　　处：《中国综合临床》2013年第4期345-346,共2页Clinical Medicine of China

摘　　要：目的探讨恶性脑膜瘤的诊断与治疗方法。方法对我院29例恶性脑膜瘤患者的临床资料进行回顾性分析。结果29例患者行SimpsonⅠ级切除15例、Ⅱ级切除8例、Ⅲ级切除6例。随访25例，随访时间20—100个月，复发11例（44％），其中SimpsonⅠ级切除复发2例、SimpsonⅡ级切除3例，SimpsonⅢ级切除6例患者均复发。结论头颅CT、MRI等影像学检查有助于恶性脑膜瘤的诊断，治疗方法以手术切除为主，辅以放、化疗，但术后多复发，生存时间较短，考虑与肿瘤的分化程度有关。Objective To explore the methods for diagnosis and treatment of malignant meningioma. Methods The clinical data of twenty-nine patients with malignant meningioma were retrospectively analyzed. Results Among the 29 patients, 15 underwent Simpson Ⅰ resection, 8 underwent Simpson Ⅱresection and 6 had Simpson Ⅲresection. Among these patients, Twenty-five cases were successfully followed up for 20 - 100 months. There are 11 cases who occurred relapse （ 44% ） , of whom 2 received Simpson I resection,3 receided Simpson Ⅱ resection and all the 6 cases receiving Simpson m cases. Conclusion Head CT and MRI examination is helpful to diagnose malignant meningioma. The treatment mainly involved surgical resection combined with radiation and chemotherapy, with high postoperative recurrence rate and short survival time depending on the differentiation of the tumor.

关 键 词：颅内肿瘤 恶性脑膜瘤 Simpson分级 

分 类 号：R739.45[医药卫生—肿瘤]