不同亚型大脑凸面脑膜瘤患者开颅切除术后瘤床出血情况比较研究  

Comparative Study of Tumor-bed Bleeding after Craniotomy in Patients with Different Subtypes of Cerebral Convexity Meningioma

作　　者：相恒新 江伟[2] XIANG Hengxin, JIANG Wei(Neurosurgical Intensive Care Unit, Ganyu District hospital of Lianyungan)

机构地区：[1]连云港赣榆区中医院神经外科重症监护室 [2]连云港市第一人民医院神经外科,222100

出　　处：《航空航天医学杂志》2018年第10期1178-1180,共3页Journal of Aerospace medicine

摘　　要：目的比较不同亚型大脑凸面脑膜瘤患者开颅切除术后瘤床出血情况。方法对201例行开颅手术的大脑凸面脑膜瘤患者,比较不同亚型术后瘤床出血情况。结果 201例患者中,术后发生出血30例,出血率为14. 93%,其中I级出血率(17. 75%)高于Ⅱ级、Ⅲ级(均为0,P <0. 05),其中血管瘤型(35. 71%)、分泌型(33. 33%)、过渡型(34. 62%)均明显高于其他亚型(P<0. 05)。结论在大脑凸面脑膜瘤患者中,血管瘤型、分泌型、过渡型术后发生出血的几率较大,应加强预防。Objective To compare the bleeding status of the tumor bed after craniotomy in patients with different subtypes of cerebral convexity meningioma. Methods The postoperative bleeding statuses of the tumor beds in a total of201 patients with different subtypes of cerebral convexity meningioma who underwent craniotomy were compared. Results Among 201 patients,30 patients had postoperative bleeding and the bleeding rate was 14. 93%. Of which,the bleeding rate in grade I tumors（17. 75%） was higher than the bleeding rates in grade II and III tumors（both bleeding rates were0,P 0. 05）, including hemangioma subtype（35. 71%） secreting subtype（33. 33%） and transitional subtype（34. 62%） and the incidence rates of all three subtypes were significantly higher than those of other subtypes（P0. 05）. Conclusions Among patients with cerebral convexity meningioma,,the incidence rate of postoperative bleeding is greater in patients with three subtypes of cerebral convexity meningioma such as hemangioma subtype,secreting subtype and transitional type,and thus it is necessary to strengthen the prevention of postoperative bleeding.

关 键 词：大脑凸面脑膜瘤 开颅切除术 瘤床出血 

分 类 号：R739.41[医药卫生—肿瘤]