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目的分析鞍旁脑膜瘤显微手术预后影响因素。方法选择某院神经外科2005年1月~2011年1月收治的56例行显微手术的鞍旁脑膜瘤患者作为观察对象,采用生活质量评分评估预后,对年龄、肿瘤切除程度、肿瘤性质、肿瘤大小、术前状态、术中状态等因素通过SAS6.12统计学软件先进行单因素χ2检验,再对有显著差异的因素再进行多因素Logistic回归分析,从而分析鞍旁脑膜瘤显微手术预后影响因素。结果患者年龄、肿瘤切除级别、肿瘤性质、肿瘤大小、术前合并脑梗死、术中出血量大及合并失血性休克预后差异有统计学意义(P﹤0.05),而术前合并高血压、心脏病、糖尿病级术中合并脑膨出与预后无关(P﹥0.05)。结论患者的年龄及术前状态都可能影响患者显微手术的预后,但肿瘤切除级别、肿瘤性质、肿瘤大小、术前合并脑梗死、术中出血量大及合并失血性休克是影响预后的独立危险因素。
Objective To analyze the influencing factors of prognosis of parasellar meningioma by microsurgery. Methods A total of 56 patients with paraselinal meningiomas undergoing microsurgery from January 2005 to January 2011 in our hospital were selected as the observation objects. The quality of life score was used to evaluate the prognosis. The age, tumor resection degree, tumor nature, Tumor size, preoperative status, intraoperative status and other factors through the SAS6.12 statistical software univariate χ2 test, and then significant differences in the factors of further multivariate Logistic regression analysis of traumatic meningioma microsurgery Prognostic factors. Results There were significant differences in the age, tumor resection level, tumor size, tumor size, preoperative cerebral infarction, intraoperative blood loss and prognosis of hemorrhagic shock (P <0.05), while preoperative hypertension, heart The patients with diabetes mellitus had no correlation with prognosis (P> 0.05). Conclusion The patient’s age and preoperative state may affect the prognosis of patients with microsurgery, but the tumor resection level, tumor nature, tumor size, preoperative cerebral infarction, intraoperative blood loss and combined hemorrhagic shock are prognostic independent Risk factors.