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目的探讨脑膜瘤患者出现术后并发症的相关因素;以指导对手术相关风险的评估,降低术后并发症的发生率。方法回顾性分析213例小脑幕上脑膜瘤患者的临床资料。对发生并发症与无并发症患者的性别、年龄、肿瘤部位、镰窦关系、既往高血压、糖尿病、冠心病史、术前心肺功能、手术耗时、术中出血量及住院时间进行比较。结果发生并发症的患者中年龄>55岁、术前检查有心功能异常、肺功能异常、术中出血量>500 ml、手术耗时>3 h者的比率均显著高于无并发症的患者,差异均有统计学意义(P<0.05~0.001)。结论幕上脑膜瘤术后并发症的发生与患者高龄、术前存在心肺功能异常、术中出血量多以及肿瘤体积大、手术困难有明显的关系。
Objective To investigate the related factors of postoperative complications in patients with meningioma, to guide the assessment of the risk associated with surgery and to reduce the incidence of postoperative complications. Methods The clinical data of 213 patients with supratentorial meningioma were retrospectively analyzed. The gender, age, location of the tumor, relationship of sickles, previous hypertension, diabetes mellitus, history of coronary heart disease, preoperative cardiopulmonary function, operation time, intraoperative blood loss and hospital stay were compared between patients with and without complication. Results Complications of patients aged> 55 years, preoperative examination with cardiac dysfunction, pulmonary dysfunction, blood loss> 500 ml, surgery time> 3 h were significantly higher than those without complications, The differences were statistically significant (P <0.05 ~ 0.001). Conclusion The posterior supratentorial meningioma complications occurred with the elderly, preoperative existence of cardiopulmonary dysfunction, intraoperative blood loss, as well as large tumor size, surgical difficulties have a clear relationship.