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为评价颅内室管膜瘤病人的预后因素,制定最佳治疗方案,作者回顾了1952年1月～1988年4月93例术后病人,男38例,女55例,幕上40例,幕下53例;58例(62%)小于10岁;高分化(Ⅰ、Ⅱ级)41例,低分化(Ⅲ、Ⅳ级)49例,3例未分级。术中,6例仅取活检,38例有肉眼残瘤。术后死亡5例,88例作了术后放疗。结果见到,总的5、10、15年生存率分别为51%、42%、31%。多因素分析表明瘤细胞分化程度是影响预后最重要的因素,其次为病人性别,即高分化者优于低分化者、女性病人优于男性病人。高分化病人手术是否
To evaluate the prognostic factors of patients with intracranial ependymoma, to develop the best treatment options, the authors reviewed from January 1952 to April 1988 93 cases of postoperative patients, 38 males and 55 females, 40 cases on the screen, Fifty-three cases (62%) were less than 10 years old; 41 cases were well differentiated (grade Ⅰ and Ⅱ), 49 cases were poorly differentiated (grade Ⅲ and Ⅳ), and 3 cases were not graded. Intraoperative, 6 cases only biopsy, 38 cases of macroscopic residual tumor. Five patients died and 88 patients underwent postoperative radiotherapy. The results showed that the overall 5,10,10-year survival rates were 51%, 42%, 31%. Multivariate analysis showed that the degree of tumor cell differentiation was the most important factor affecting the prognosis, followed by the patient’s gender, that is, the well-differentiated patients were better than the poorly differentiated patients and the female patients were superior to the male patients. Highly differentiated patients surgery is