幕上脑胶质瘤术后100例围手术期分析  

Analysis of perioperation complications in 100 patients with supratentorial cerebral hemisphere gliomas

作　　者：王孜[1] 谢坚 江涛[2] 浦松[3] 梁雄利[1] 

机构地区：[1]北京电力医院 [2]北京天坛医院胶质瘤治疗中心 [3]哈尔滨医科大学附属第一临床医学院

出　　处：《中国水电医学》2009年第3期153-156,共4页

摘　　要：目的分析幕上脑胶质瘤患者围手术期并发症情况,为临床并发症分类及治疗提供客观依据。方法回顾性分析外科住院手术治疗、有完整病案记录和随访记录的100例幕上大脑半球胶质瘤患者的资料。将术后并发症分类为神经学、局部、系统并发症,重点分析术后神经学并发症发生的原因及防治方法。结论神经外科医生必须根据病史、神经学症状与体征、术前检查,制订完善的个体化的手术计划。全面掌握手术解剖包括病理解剖和功能解剖。预见并尽量避免术后并发症的发生,及时合理的治疗术后并发症。Objective To analysis the condition of perioperation complications in patients with supratentorial cerebral hemisphere gliomas,and to provide objective references for clinical classification and treatment.Methods Data of 100 patients with supratentorial cerebral hemisphere gliomas,treated surgicaly in the department of neurosurgery,gliomas center of Tiantan Hospital from June 2006 to December 2007,were reviewed and analyzed.Classifying postoperative complications to neurological,regional and systemic complications,especially emphasis analysis the reasons to take place,prevention and cure of the neurological postoperative complications.Conclusion Neurosurgeon must design consummately individualization operation plan depended on patient history,neurology symptoms,physical sign,and preoperative check,prehension all the operation anatomy including the pathology anatomy and function anatomy.They mustforesee the postoperative complications,prevent it as far as possible,and treat it reasonable in time

关 键 词：胶质瘤 并发症 外科手术 

分 类 号：R739.4[医药卫生—肿瘤]