【摘要】：目的:探討手術切除功能區(qū)腦膜瘤后發(fā)生肢體肌力下降的相關危險因素。方法:對2012年2月至2016年5月在廣西醫(yī)科大學第一附屬醫(yī)院神經(jīng)外科,經(jīng)過手術切除治療的62例功能區(qū)腦膜瘤患者的臨床資料進行回顧性分析,根據(jù)肌力評分標準,分為肌力下降組和非肌力下降組,進行單因素及多因素Logistic回歸分析兩組病人的性別、年齡、腫瘤大小、術前瘤周水腫、術前癲癇發(fā)作、術后癲癇發(fā)作、手術時間、出血量、是否二次手術、糖尿病、高血壓、是否在竇旁、術后是否并發(fā)顱內(nèi)感染等因素。結果:單因素分析顯示年齡(X2=5.641,P=0.018)、腫瘤大小(X2=4.986,P=0.028)、手術時間(X2=3.994,P=0.045)、性別(X2=0.316,P=0.384)、術前瘤周水腫(X2=0.056,P=0.23)、術前癲癇(X2=0.261,P=0.411)、術后癲癇(X2=1.130,P=0.254)、出血量(X2=1.159,P=0.217)、是否二次手術(X2=0.642,P=0.613)、糖尿病(X2=1.039,P=0.289)、高血壓(X2=0.384,P=0.378)、是否在竇旁(X2=0.079,P=0.499)、是否顱內(nèi)感染(X2=0.038,P=0.669)。比較這些因素的差異是否有統(tǒng)計學意義。Logistic回歸分析以上因素顯示出年齡≥60歲(OR=4.017,P=0.023)、腫瘤≥4cm(OR=4.335,P=0.032),為功能區(qū)腦膜瘤術后出現(xiàn)肌力下降的相關因素。結論:年齡≥60歲及腫瘤≥4cm是術后發(fā)生肢體肌力下降的危險因素。
[Abstract]:Objective: to investigate the risk factors of limb myoplegia after resection of meningioma in functional area. Methods: from February 2012 to May 2016, 62 patients with meningioma in the functional area were treated by surgical resection in the Neurosurgery Department of the first affiliated Hospital of Guangxi Medical University. The clinical data of 62 patients with meningioma in the functional area were analyzed retrospectively according to the criteria of muscle strength score. The patients were divided into two groups: dyskinesia group and non-dyskinetic group. The sex, age, tumor size, peri-tumor edema, epileptic seizure before operation, seizure after operation, operation time, bleeding volume were analyzed by univariate and multivariate logistic regression analysis. Whether secondary surgery, diabetes, hypertension, whether in the sinus, postoperative intracranial infection and other factors. 緇撴灉:鍗曞洜绱犲垎鏋愭樉紺哄勾榫，

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