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目的 探讨颅骨肿瘤的常见病理类型、临床特点和治疗方法。方法 回顾性分析 119例手术治疗的颅骨肿瘤病例 ,对其临床症状、影像学资料、治疗方法以及生存情况等进行分析研究。结果 共行神经外科手术 12 2次 ,3人行手术 2次。全切除手术 75次 ,近全切除手术 2 4次 ,部分切除手术 2 2次 ,1例患者行活检手术。外生型肿瘤 43例 (36 .1% ) ,内生型肿瘤 2 7例 (2 2 .7% ) ,混合生长型肿瘤 49例 (4 1.2 % )。随诊 85例患者中 ,78.6 %的患者术后恢复了正常的工作和学习 ,16 .6 %的患者术后生活可以自理 ,生活需要照顾以及随访期间死亡的患者各 2例。结论 积极的手术治疗可以达到明确诊断 ,延缓神经功能缺损的发展 ,延长患者的生存期以及美容等目的。
Objective To investigate the common pathological types, clinical features and treatment of skull tumors. Methods A retrospective analysis of 119 cases of surgical treatment of skull tumor cases, clinical symptoms, imaging data, treatment methods and survival analysis. Results A total of 12 12 neurosurgery operations, 3 line surgery 2 times. Total resection 75 times, near total resection 24 times, partial resection 22 times, 1 patient biopsy. There were 43 cases (36.1%) of exogenous tumors, 27 cases (27.2%) of endogenous tumors and 49 cases (4 1.2%) of mixed growth tumors. Among the 85 patients followed, 78.6% returned to normal work and study after operation, 16.6% had self-care after surgery, 2 had to take care of their life and 2 died during follow-up. Conclusion The positive surgical treatment can achieve the purpose of definite diagnosis, delaying the development of neurological deficits, prolonging the survival of patients and beautifying.