【摘要】 目的 分析颅内肿瘤开颅切除术后早期(<7d)再次开颅手术的原因,探讨改善脑肿瘤患者预后的措施。方法 回顾10年间本科2826例脑肿瘤开颅手术后早期再手术87例,分析再手术原因。结果 2826例颅内肿瘤开颅术后早期再手术87例,发生率3.08％。再手术原因:脑出血31例(35.6％),脑水肿35例(40.2％),脑积水8例(9.2％),脑梗死6例(6.9％),脑脊液漏2例(2.3％),肿瘤2次切除3例(3.5％),硬膜下积液2例(2.3％)。结论 术中对毗邻肿瘤的血管、神经组织的保护及妥善的止血措施能有效预防再次手术,而抓住再手术时机,积极处理术后导致颅内高压的情况,可有效改善患者预后。更多还原

【Abstract】 Objectives To analysis the reasons of early reoperation after the surgery of brain tumors in order to find some regimen to improve the prognosis.Methods All 2826 cases of brain tumors were reviewed during the past 10 years including the clinical manifestation and the prognosis. Results Altogether 87 patients received reoperation in total 2826 cases of brain tumors with transcranial surgery for the various reasons including intracerebral hematomas(31 cases, 35.6%), brain edema( 3 cases, 40.2%), hydrocephalus(8 cases, 9.2%), cerebral infarction (6 cases, 6.9%), cerebral fluid leakage(2 cases, 2.3%), residue tumor excavaction (3 cases 3.5%), subdural fluid accumulation (2 cases, 2.3%) .Conclusion Protection of the neighbor vessels and brain tissues together with the proper hemostasis can reduce die chance of reoperation, if not, early reoperation to control the pathological processes inducing intracranial hypertention may improve the prognosis sufficiently.更多还原