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目的探讨脑膜瘤的早期诊断。方法采用回顾性研究手段，对13a间收治的114例脑膜瘤的病程、首发症状和体征，入院前误诊情况进行了调查分析。结果发现脑膜瘤病程长，初期症状易被忽视，本组病例3个月内、6个月内和1a内确诊率分别为23．7％、47．4％和71．9％。本组病例误诊率高达28．1％，致使部分病人延误诊治，至入院时视力丧失或成为晚期巨大肿瘤。结论重视脑膜瘤首发症状的各种表现，及时进行CT检查，可以提高脑膜瘤的早期确诊率。
Objective To investigate the early diagnosis of meningioma. Methods A retrospective study was conducted to investigate the course of disease, the first signs and symptoms, and the misdiagnosis of 114 cases of meningiomas in the past 13 years. The results showed that meningioma long course of the initial symptoms easily overlooked in this group of patients within 3 months, 6 months and 1a confirmed rates were 23.7%, 47.4% and 71.9%. The misdiagnosis rate of this group of patients up to 28.1%, resulting in delayed treatment of some patients, to the hospital vision loss or become a huge late tumor. Conclusion Paying attention to the various manifestations of the first symptom of meningioma and timely CT examination can improve the early diagnosis rate of meningioma.