| 颅内囊性脑膜瘤临床特点及外科治疗 |
| 投稿时间：2017-10-23 修订日期：2017-11-15 点此下载全文 |
| 引用本文：崔太峰,费小瑞,曾明慧,牛朝诗,傅先明.颅内囊性脑膜瘤临床特点及外科治疗[J].医学研究杂志,2018,47(8):164-167 |
| DOI：
10.11969/j.issn.1673-548X.2018.08.038 |
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| 中文摘要:目的 回顾性分析颅内囊性脑膜瘤的临床表现、影像学特点，探讨其外科治疗的方法及预后。方法 收集2010年7月~2016年3月在安徽省立医院行手术治疗的囊性脑膜瘤17例，并对其临床表现，影像学特点及外科手术疗效进行分析。结果 17例患者均行手术切除，根据Zee分型，其中ZeeⅠ型7例，行SimpsonⅠ级切除6例，SimpsonⅡ级切除1例，其中病理非典型、上皮型、微囊型和纤维型各1例，过渡细胞型3例；ZeeⅡ型2例，1例行囊壁完整切除，达到SimpsonⅠ级切除，另1例囊壁大部分切除，达到SimpsonⅡ级切除；病理提示血管瘤型1例和上皮细胞型各1例；ZeeⅢ型7例，5例行SimpsonⅠ级切除，2例位于颅底深部行SimpsonⅡ级切除，病理提示上皮细胞瘤型4例，过渡细胞型、纤维型和混合型各1例；ZeeⅠ和Ⅲ型混合1例，病理提示上皮细胞型，达到SimpsonⅠ级切除。随访时间6个月~7年，平均4.2年，其中据GOS预后评分，轻残1例，重残1例，肿瘤均位于中央区；1例蝶骨嵴巨大囊性脑膜瘤因术后出血，出院后1个月死亡；余恢复良好，无肿瘤复发和死亡病例。结论 Zee分型可较好的对囊性脑膜瘤囊性变特点进行区分，有利于指导手术治疗。 |
| 中文关键词:囊性脑膜瘤 临床特点 诊断 外科治疗 |
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| Clinical Characteristics and Surgical Treatment of Intracranial Cystic |
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| Abstract:Objective To retrospectively analyze the clinical manifestations and imaging characteristics of intracranial cystic meningiomas, and to explore the surgical treatment and prognosis. Methods This study included 17 cases of cystic meningioma treated by surgery in Anhui Provincial Hospital from July 2010 to March 2016 to analyse clinical manifestations,imaging features and surgical results. Results All the 17 patients underwent resection, according to Zee classification, including 7 cases of Zee Ⅰ type, of which 6 cases of Simpson Ⅰgrade resection, 1 case of Simpson Ⅱgrade resection, whose pathology included 1 case of atypical meningioma, epithelial type, microcapsule type and fibrous type, 3 cases of transitional cell type; 2 cases of Zee Ⅱtype,which included 1 case of complete removal of the cyst wall to achieve Simpson Ⅰgrade resection, and the other one case most of the cyst excision, to Simpson Ⅱgrade resection,whose pathology prompted hemangioma and epithelial cell type 1 case; 7 cases of Zee Ⅲ type,which included 5 cases of SimpsonⅠgrade resection, 2 cases in the deep skull base SimpsonⅡlevel resection, whose pathology prompted epithelial cell tumor type in 4 cases, transition cell type, fiber type and mixed type in 1 case; ZeeⅠ and Ⅲ type mixed in 1 case, the pathological suggestive epithelial cell type, to SimpsonⅠgrade resection. Follow-up ranged from 6 months to 7 years,with an average of 4.2 years, which according to the GOS prognosis score, 1 patient was mild disability and the other one case was severe dislocation whose tumor were located in the central area. One case of sphenoid sphenoid giant cystic meningioma was discharged due to postoperative bleeding. After a month he died. Others recovered well. No recurrence and death due to tumor cases. Conclusion Zee classification can be better to distinguish cystic meningioma cystic characteristics, which is helpful to guide the surgical treatment. |
| keywords:Cystic meningioma Clinical features Diagnosis Surgical treatment |
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