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目的探讨颅内肿瘤术后复发的原因及其治疗方法。方法回顾我院神经外科7年间的65例颅内肿瘤术后复发的病例资料,分析预防术后复发的措施和再次手术的问题。结果65例病例中53例(81.5%)进行了再次手术或多次手术,而且绝大多数相应延长了生存时间或减轻了症状。结论术后定时随诊,早期发现术后复发,提高病人对术后复发的认识能力,充分的术前准备和对受累器官的正确评估以及术中全面而细致的切除肿瘤是预防术后再次复发的关键;而且再次或多次手术结合放化疗等综合治疗是完全必要的。
Objective To investigate the causes of postoperative recurrence of intracranial tumors and its treatment. Methods The data of 65 cases of recurrent intracranial tumors after neurosurgery in our hospital for 7 years were retrospectively analyzed. The measures to prevent recurrence and the reoperation were analyzed. Results Of 65 cases, 53 cases (81.5%) underwent reoperation or multiple surgeries, and the vast majority correspondingly prolonged the survival time or relieved the symptoms. Conclusion Regular follow-up postoperatively, early detection of postoperative recurrence, improve the patient’s awareness of postoperative recurrence, adequate preoperative preparation and correct assessment of affected organs, as well as intraoperative comprehensive and meticulous resection of the tumor is to prevent recurrence after surgery The key; and again or multiple operations combined with radiotherapy and chemotherapy and other comprehensive treatment is absolutely necessary.