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目的 总结老年人脑膜瘤的临床特点及影响手术效果的各种因素。方法 对我院１９９０年至１９９８年住院的５２例６０岁以上的老年脑膜瘤病人的临床资料进行回顾分析。结果 手术后３０天内死亡３例（５．８％），术后效果良好３８例（７３％）。＜７０岁与≥７０岁年龄组，术前存在伴发病有与无伴发病组，瘤径＜４ｃｍ与≥４ｃｍ组术后良好率相近；凸面脑膜瘤组术后良好率明显优于矢状窦旁及深部、颅底部脑膜瘤组；术前无或仅有较轻功能障碍组术后良好率明显优于术前存在明显神经功能障碍组病人；术前对脑血管造影中血供丰富的脑膜瘤的颈外供血动脉主要分支进行栓塞，其术中出血量明显低于本组术中平均出血量。结论 对于老年脑膜瘤病人应及早予以积极手术治疗；肿瘤部位及术前神经功能状态是决定老年脑膜瘤病人手术效果的重要因素。
Objective To summarize the clinical characteristics of elderly meningeoma and the various factors that influence the surgical effect. Methods The clinical data of 52 elderly patients with meningioma over the age of 60 hospitalized from 1990 to 1998 in our hospital were retrospectively analyzed. Results Three patients (5.8%) died within 30 days after operation, and 38 patients (73%) achieved good results after operation. <70 years old and ≥70 years old group, with preoperative presence and absence of disease associated with disease group, diameter <4cm and ≥ 4cm group good rate after surgery; convex meningioma group was better than sagittal sinus postoperative good rate Side and deep, skull base meningioma group; preoperative or only mild dysfunction group was significantly better than postoperative patients with obvious neurological dysfunction group; preoperative cerebral angiography in the rich blood supply of meningiomas Of the major external carotid artery embolization, the bleeding was significantly lower than the average blood loss in this group. Conclusion For the elderly patients with meningioma should be actively treated early surgery; tumor location and preoperative neurological status is an important factor in determining the effect of surgical treatment of elderly patients with meningioma.