矢状窦旁脑膜瘤患者切除术后脑水肿发生状况及影响因素  

Occurrence and influencing factors of brain edema after resection of parasagittal meningioma

作　　者：徐瑞堂[1] Xu Ruitang(Neurosurgery Department,the People's Hospital of Zoucheng City,Shandong Zoucheng 273500)

机构地区：[1]邹城市人民医院神经外科,山东邹城273500

出　　处：《中国社区医师》2021年第33期66-67,共2页Chinese Community Doctors

摘　　要：目的:分析矢状窦旁脑膜瘤患者切除术后脑水肿发生状况及影响因素。方法:选取2015年1月-2020年8月采取切除术治疗的矢状窦旁脑膜瘤患者70例,统计患者切除术后脑水肿发生状况,并分析术后发生脑水肿的影响因素。结果:70例患者术后脑水肿发生率为21.43%;经Logistic回归分析结果显示,肿瘤部位在矢状窦后2/3、术中静脉损伤是矢状窦旁脑膜瘤患者切除术后发生脑水肿的影响因素(OR>1,P<0.05)。结论:部分矢状窦旁脑膜瘤患者切除术后存在脑水肿发生风险,肿瘤部位在矢状窦后2/3、术中静脉损伤可能会增加矢状窦旁脑膜瘤患者切除术后脑水肿发生风险,临床应提高对上述因素的早期评估及干预,以降低术后脑水肿发生风险。Objective:To explore the occurrence and influencing factors of brain edema after resection of parasagittal meningioma.Methods:From January 2015 to August 2020,70 patients with parasagittal meningioma treated by resection were selected,we counted the incidence of brain edema after resection,and analyzed the influencing factors of brain edema after resection.Results:The incidence of postoperative brain edema in 70 patients was 21.43%.Logistic regression analysis showed that the tumor location of 2/3 anterior and middle the sagittal sinus and intraoperative venous injury were the influencing factors of brain edema after resection of parasagittal meningioma(OR>1,P<0.05).Conclusion:Some patients with parasagittal meningiomas are at risk of brain edema after resection,The tumor site at 2/3 anterior and middle the sagittal sinus,intraoperative venous injury may increase the risk of brain edema after resection of parasagittal meningioma,we should improve the early evaluation and intervention of the above factors in order to reduce the risk of postoperative brain edema.

关 键 词：矢状窦旁脑膜瘤 切除术 脑水肿 术中静脉损伤 

分 类 号：R739.45[医药卫生—肿瘤]