本文選題：視神經管 + 腦膜腫瘤�。� 參考：《中國神經精神疾病雜志》2017年09期

【摘要】：目的探討改善侵犯視神經管的腦膜腫瘤術后視力水平的影響因素。方法收集侵犯視神經管的腦膜腫瘤患者的臨床資料,logistic回歸分析性別、年齡、腫瘤大小、術前視力、腫瘤切除程度、腫瘤粘連周圍結構程度、視神經管減壓時機和患者視力轉歸的關系。結果共55例,術后視力改善26例,無改善29例。早期硬膜外視神經管減壓17例,視力好轉15例;后期視神經管減壓9例,視力好轉5例;單純刮除29例,視力好轉6例。單因素分析提示切除級別、腫瘤粘連程度和早期硬膜外視神經管減壓可影響術后視力改善;logistic回歸分析顯示早期硬膜外視神經管減壓是改善術后視力的唯一保護因素。結論對于術前考慮已經侵犯視神經管的鞍區(qū)腦膜腫瘤,術中宜行早期硬膜外視神經管減壓以改善患者術后視力。
[Abstract]:Objective to investigate the influencing factors on postoperative visual acuity of meningeal tumors invading optic canal. Methods the clinical data of patients with meningeal tumor invading optic canal were collected. Logistic regression analysis was performed on sex, age, tumor size, preoperative visual acuity, degree of tumor resection, degree of surrounding structure of tumor adhesion. The relationship between the time of optic canal decompression and the outcome of visual acuity. Results in 55 cases, the visual acuity was improved in 26 cases and no improvement in 29 cases. 17 cases had early decompression of epidural optic canal, 15 cases had improved visual acuity, 9 cases had decompression of optic canal and 5 cases had improved visual acuity, 29 cases had simple curettage, 6 cases had improved visual acuity. Univariate analysis showed that resection grade, degree of tumor adhesion and early decompression of epidural optic canal could affect postoperative visual acuity. Logistic regression analysis showed that early decompression of epidural optic canal was the only protective factor to improve postoperative visual acuity. Conclusion in order to improve the postoperative visual acuity of patients with Sellar meningiomas which have invaded optic canal before operation, early decompression of epidural optic canal should be performed during operation.
【作者單位】： 佛山市第一人民醫(yī)院神經外科;中山大學附屬第一醫(yī)院神經外科;
【基金】：佛山市自籌經費類科技計劃項目(編號:2014AB00282)
【分類號】：R739.45

【相似文獻】

相關期刊論文 前2條

1 李靜;李猛;王振常;何暉光;燕飛;鮮軍舫;呂彬;艾立坤;;不同時期特發(fā)性脫髓鞘性視神經炎視神經擴散張量成像研究[J];眼科;2010年04期

2 蔡力;董心;賀家寧;袁毅;馬洪順;;視神經拉伸實驗研究[J];試驗技術與試驗機;1999年Z1期

相關會議論文 前1條

1 周世聰;潘增軍;;鞍區(qū)腫瘤術后視力下降的原因分析[A];中華醫(yī)學會神經外科學分會第九次學術會議論文匯編[C];2010年

，

本文編號：1904071