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目的 分析不同亚型大脑凸面脑膜瘤患者开颅切除术后瘤床出血情况.方法 选取2014G2-2016G4我院收治的328例脑膜瘤患者,所有患者均采用开颅手术切除肿瘤,术后给予抗癫痫药物治疗,对比不同亚型患者术后瘤床出血率.结果 Ⅰ级中,过渡型、血管瘤型、分泌型脑膜瘤术后出血率高于其他亚型脑膜瘤患者,差异显著(P<005),Ⅱ级与Ⅲ级出血率比较无显著差异(P>005).结论 过渡型、血管瘤型、分泌型大脑凸面脑膜瘤患者开颅手术切除肿瘤后瘤床出血量较大,出血率高;不同亚型大脑凸面脑膜瘤患者术后瘤床出血情况与患者肿瘤具体的病理状况存在较为紧密的联系.
Objective To analyze the tumor bed hemorrhage after craniotomy in patients with different subtype of meningioma.Methods 328 cases of meningioma admitted to our hospital from 2014G2-2016G4 were enrolled in this study.All patients underwent craniotomy for tumor resection and antiepileptic Drug treatment were performed to compare the rate of tumor bed hemorrhage after operation in different subtypes.Results In class I, the rate of hemorrhage in transitional, hemangioma and secretory meningiomas was significantly higher than those in other subtype of meningiomas (P <0.05 ), There was no significant difference between grade Ⅱ and grade Ⅲ bleeding (P0.005) .Conclusion The transitional hemangiomas and secretory type of patients with meningioma of the brain have larger tumor volume and higher bleeding rate after craniotomy ; Different subtypes of convex meningioma in patients with tumor bed bleeding and tumor specific pathological conditions are more closely linked.