脑恶性胶质瘤复发的再次手术治疗体会  

Experience of Reoperation for Recurrent Malignant Glioma of Brain

作　　者：毛铁[1] 吴春菊[2] MAO Tie;WU Chunju(Department of Cerebral Surgery,Heilongjiang Provincial Hospital,Harbin Heilongjiang 150036,China;Operation Room)

机构地区：[1]黑龙江省医院脑外科,黑龙江哈尔滨150036 [2]黑龙江省医院手术室,黑龙江哈尔滨150036

出　　处：《中国继续医学教育》2018年第28期93-94,共2页China Continuing Medical Education

摘　　要：目的探究脑恶性胶质瘤复发的再次手术治疗的临床效果。方法采用回顾性分析方法,选择2016年6月—2017年6月在我院接受治疗的复发性脑恶性胶质瘤患者40例作为研究对象,40例患者均为再次手术,对手术后的治疗效果进行观察。结果所有患者均顺利进行手术,在患者术后生存率进行回访,对患者的病理进行分级,其中,有19例患者在术后和第1次手术的病理分级相同,剩下的21例患者出现病理升级的情况。其中,生存1年的患者,生存率为75.00%;生存2年的患者,生存率为20.00%;生存3年的患者,生存率为5.00%。结论针对脑恶性胶质瘤复发患者的再次手术治疗来说,在严格掌握和实施手术操作方法的基础上,患者的生存时间能被有效延长,促进患者生存质量的提高。Objective To explore the clinical effect of reoperation for recurrent malignant gliomas. Methods By retrospective analysis, 40 patients with recurrent cerebral malignant glioma who were treated in our hospital from June 2016 to June 2017 were selected as the subjects. 40 patients were re-operated, and the therapeutic effect after operation was observed. Results All patients underwent the operation successfully. The survival rate of the patients was followed up and the pathology of the patients was graded. Among them, 19 patients had the same pathological grade as the first operation, and the remaining 21 patients had pathological upgrade. Among them, the survival rate of patients who survived for 1 year was 75.00%. The survival rate of patients who survived for 2 years was 20.00%. The survival rate of patients who survived for 3 years was 5.00%. Conclusion For the reoperation of patients with recurrent brain malignant glioma, the survival time of the patients can be effectively prolonged and the quality of life can be improved on the basis of strict grasp and implementation of surgical procedures.

关 键 词：脑恶性胶质瘤 复发 再次手术 治疗方法 影像学特征 效果 

分 类 号：R739[医药卫生—肿瘤]