【摘要】 目的探讨初诊患者的大脑半球胶质瘤瘤周水肿情况对全切术治疗后胶质瘤复发的影响。方法选取我院收治的46例经全切术后复发的胶质瘤患者作为研究对象,对所有患者进行核磁共振检查,分析患者初诊时的核磁共振检查资料,观察瘤周水肿的类型及程度对全切术治疗后复发情况的影响。结果初诊胶质瘤瘤周水肿特征与全切术治疗后患者的复发情况具有密切联系。不同胶质瘤瘤周水肿程度的复发形态及复发部位趋向具有统计学差异(P<0.05);不同胶质瘤瘤周水肿类型的复发形态及复发部位趋向具有统计学差异(P<0.05);不同胶质瘤复发部位趋向的复发形态具有统计学差异(P<0.05)。结论初诊大脑半球胶质瘤瘤周水肿的程度及类型对患者全切术后胶质瘤的复发形态及复发部位趋向具有明显影响。更多还原

【Abstract】 Objective To explore the effect of features of peritumoral edema of cerebral hemisphere gliomas at first diagnosis on the recurrence patterns after total resection.Methods Forty-six cases of cerebral hemisphere gliomas patients with recurrence after total resection admitted to our hospital were selected.The MRI data of all patients at first diagnosis were analyzed,and the effects of type and degree of peritumoral edema on the postoperative recurrence were observed.Results The features of peritumoral edema of cerebral hemisphere gliomas at first diagnosis had close relationship with the postoperative recurrence.The recurrent form and trend of recurrence site showed statistical differences between different degrees of peritumoral edema(P <0.05),and between difference types of peritumoral edema(P <0.05).The recurrent forms of different trend of recurrence site were statistically different(P <0.05).Conclusions The degree and type of peritumoral edema at first diagnosis have significant effect on the recurrent form and trend of recurrence site after total resection.更多还原