脑膜瘤供血动脉分型与术前栓塞联合外科切除术中出血量的相关性分析  

Correlation Analysis of the Type of Feeding Artery and the Amount of Blood Loss During Preoperative Arterial Embolization Combined with Surgical Resection of Meningioma

作　　者：洪跃飞 刘文兰[1] 杜端明[1] 王琦[1] 吴育民[1] 刘春霖[1] 江磊昌 罗伟芝 陈剑尉[1] 吴小红 HONG Yue-fei;LIU Wen-lan;DU Duan-ming;WANG Qi;WU Yu-min;LIU Chun-lin;JIANG Lei-chang;LUO Wei-zhi;CHEN Jian-wei;WU Xiao-hong(Shenzhen Second People's Hospital,The First Affiliated Hospital of Shenzhen University,Guangdong Shenzhen 518035)

机构地区：[1]深圳市第二人民医院深圳大学第一附属医院,广东深圳518035

出　　处：《深圳中西医结合杂志》2022年第15期1-5,共5页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

基　　金：国家自然科学基金面上项目(81873747)。

摘　　要：目的:探讨脑膜瘤供血动脉分型与术前动脉栓塞(PAE)联合外科切除术中出血量(EBL)的相关性。方法:回顾性分析深圳市第二人民医院2012年4月至2018年8月期间行脑膜瘤PAE联合外科切除的27例患者临床资料,以增加了椎-基底动脉系统分型的改良Manelfe分型进行血供分型,探讨血供分型与出血程度的相关性。结果:27例联合PAE的脑膜瘤患者中,术中仍有大量出血者共6例(22.2%),改良的Manelfe分型是EBL>600 mL的独立危险因素(P<0.05),其中Ⅰ、Ⅱ型与Ⅲ、Ⅴ型两组之间肿瘤完全栓塞率的差异具有统计学意义(P<0.05)。结论:改良的Manelfe血供分型是脑膜瘤PAE联合外科切除EBL>600 mL的独立危险因素,可用于评估肿瘤的可栓塞程度及术中出血程度,单纯由颈外动脉供血的Ⅰ型疗效较好,随后逐型减弱。Objective To investigate the correlation between the types of feeding arteries and the estimated blood loss(EBL) during preoperative arterial embolization(PAE)combined with surgical resection of meningiomas.Methods A retrospective analyzed of 27 patients underwent PAE combined with surgical resection of meningioma in Shenzhen Second People’s Hospital from April 2012 to August 2018.Increased the blood contribution of the Manelfe classification of the vertebral and basal artery system,and discussed the correlation between the degree of blood contribution and the degree of hemorrhage.Results Among the 27 patients with meningioma combined with PAE,6 patients(22.2%)still had massive hemorrhage during operation.The modified Manelfe classification was an independent risk factor for EBL>600 mL(P<0.05).There was significant difference in the complete tumor embolization rate between the two groups with typeⅠ,ⅡandⅢ,Ⅴ(P<0.05).Conclusion The modified Manelfe blood supply classification is an independent risk factor for meningioma PAE combined with surgical resection of EBL>600 mL,and it can be used to evaluate the degree of tumor embolization and intraoperative bleeding,then gradually weakened.

关 键 词：脑膜瘤 改良Manelfe分型 术中出血量 术前动脉栓塞 

分 类 号：R739.45[医药卫生—肿瘤]