矢状窦旁脑膜瘤患者术后复发情况及其影响因素分析  

Analysis of Postoperative Recurrence and Influencing Factors in Patients with Parasagittal Meningioma

作　　者：李亚瑞 杨凤东[1] 胡岩[1] LI Yarui;YANG Fengdong;HU Yan(The First Affiliated Hospital of Zhengzhou University,Zhengzhou,450000)

机构地区：[1]郑州大学第一附属医院,450000

出　　处：《实用癌症杂志》2023年第1期112-114,118,共4页The Practical Journal of Cancer

摘　　要：目的 分析矢状窦旁脑膜瘤患者术后复发情况及其影响因素。方法 选取矢状窦旁脑膜瘤手术患者84例。统计复发率,并采用我院自制调查问卷收集患者年龄、性别、病理分型、钙化状况、肿瘤大小、WHO分级、瘤周水肿等信息,分析影响矢状窦旁脑膜瘤患者术后复发的因素。结果 本组84例患者,未复发68例,复发16例,复发率19.05%(16/84)。单因素分析显示,年龄、肿瘤大小、WHO分级、瘤周水肿、术后KPS评分、脑膜瘤形状是影响矢状窦旁脑膜瘤患者术后复发的因素(P<0.05);logistic回归分析显示,年龄≥60岁、肿瘤>4 cm、WHO分级较高、存在瘤周水肿、术后KPS评分<70是矢状窦旁脑膜瘤患者术后复发的危险因素,脑膜瘤形状为非蘑菇形是矢状窦旁脑膜瘤患者术后复发的保护因素(P<0.05)。结论 影响矢状窦旁脑膜瘤患者术后复发的因素较多,临床应结合上述影响因素针对性采取有效的干预措施,降低患者术后复发风险。Objective To analyze the postoperative recurrence and influencing factors of parasagittal meningioma.Methods 84 patients with parasagittal meningioma were selected.The recurrence rate was counted, and the self-made questionnaire was used to collect the information of the 2 groups, such as age, gender, pathological classification, calcification, tumor size, who grade and peritumoral edema.The postoperative recurrence and influencing factors of patients with parasagittal meningioma were analyzed.Results of the 84 patients, 68 had no recurrence, 16 had recurrence, and the recurrence rate was 19.05%(16/84);Age, tumor size, who grade, peritumoral edema, postoperative KPS score and meningioma shape were the single factors affecting the postoperative recurrence of parasagittal meningioma(P<0.05);Logistic regression analysis showed that age ≥ 60 years old, tumor > 4 cm, high WHO grade, peritumoral edema and postoperative KPS score < 70 were the risk factors of postoperative recurrence in patients with parasagittal meningioma.The shape of meningioma was non mushroom, which was the protective factor of postoperative recurrence in patients with parasagittal meningioma(P<0.05).Conclusion There are many influencing factors of postoperative recurrence in patients with parasagittal meningioma.Clinically, effective intervention measures should be taken in combination with the above influencing factors to reduce the risk of postoperative recurrence.

关 键 词：脑膜瘤 矢状窦旁 术后复发 影响因素 

分 类 号：R739.45[医药卫生—肿瘤]