颅脑肿瘤常规MRI影像学特征与患者术后病情恶化的相关性分析  

Correlation Analysis Between Routine MRI Imaging Features of Craniocerebral Tumors and Postoperative Disease Deterioration

作　　者：任海涛 毛云平 徐志杰 REN Haitao;MAO Yunping;XU Zhijie(Henan(Zhengzhou)Zhonghui Cardiovascular Disease Hospital,Zhengzhou,450000)

机构地区：[1]河南(郑州)中汇心血管病医院,450000 [2]河南三博脑科医院,450000

出　　处：《实用癌症杂志》2025年第1期167-171,共5页The Practical Journal of Cancer

摘　　要：目的分析颅脑肿瘤常规磁共振成像(MRI)影像学特征与患者术后病情恶化的关系。方法选取行手术治疗的颅脑肿瘤患者167例,术前均行常规MRI检查,根据术后72 h病情恶化情况将其分为恶化组、无恶化组。比较恶化组、无恶化组常规MRI影像学特征及一般资料;经Logistic回归模型分析颅脑肿瘤患者术后病情恶化的影响因素。结果167例患者术后72 h病情恶化率为21.56%;恶化组脑白质疏松3~4级、肿瘤内血管流空、肿瘤内出血、肿瘤囊变坏死、颅内中线结构移位构成比高于无恶化组(P<0.05),肿瘤周围水肿体积、肿瘤体积大于无恶化组(P<0.05);恶化组年龄大于无恶化组(P<0.05),高血压构成比、格拉斯哥昏迷量表(GCS)评分高于无恶化组(P<0.05),血氧饱和度低于无恶化组(P<0.05),手术时间长于无恶化组(P<0.05);Logistic回归分析结果显示,GCS评分、手术时间、脑白质疏松3~4级、肿瘤周围水肿体积、肿瘤内血管流空、肿瘤囊变坏死、颅内中线结构移位是颅脑肿瘤患者术后病情恶化的影响因素(P<0.05)。结论脑白质疏松3~4级、肿瘤周围水肿体积、肿瘤内血管流空、肿瘤囊变坏死、颅内中线结构移位是颅脑肿瘤患者术后病情恶化的影响因素。Objective To analyze the relationship between conventional magnetic resonance imaging(MRI)imaging features of intracranial tumors and the risk of postoperative deterioration in patients.Methods A total of 167 patients with intracranial tumors who underwent surgical treatment were selected,and all underwent routine MRI examination before surgery.According to the postoperative 72 h deterioration condition,they were divided into deterioration group and non-deterioration group.The conventional MRI imaging features and general data of the deterioration group and the non-deterioration group were compared.Logistic regression model was used to analyze the influencing factors of postoperative deterioration in patients with intracranial tumors.Results The postoperative 72 h deterioration rate of 167 patients was 21.56%.The proportion of brain white matter loosening 3~4 grade,tumor intravascular flow void,tumor hemorrhage,tumor cystic necrosis,intracranial midline structure shift in the deterioration group were higher than those in the non-deterioration group(P<0.05),and the tumor periphery edema volume and tumor volume were larger than those in the non-deterioration group(P<0.05).The age of the deterioration group was older than that in the non-deterioration group(P<0.05),the proportion of hypertension and Glasgow coma scale(GCS)score were higher than those in the non-deterioration group(P<0.05),the blood oxygen saturation was lower than that in the non-deterioration group(P<0.05),and the operation time was longer than that in the non-deterioration group(P<0.05).Logistic regression analysis results showed that GCS score,operation time,brain white matter loosening 3~4 grade,tumor periphery edema volume,tumor intravascular flow void,tumor cystic necrosis,intracranial midline structure shift were the influencing factors of postoperative deterioration in patients with intracranial tumors(P<0.05).Conclusion Brain white matter loosening 3~4 grade,tumor periphery edema volume,tumor intravascular flow void,tumor cystic necrosis,in

关 键 词：颅脑肿瘤 磁共振成像 病情恶化 脑白质疏松 

分 类 号：R739.41[医药卫生—肿瘤]