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目的 探讨诸多临床因素和影像学特征对脑膜瘤复发的影响。方法 对 1993～ 1997年经手术治疗资料齐全的脑膜瘤患者 83例 ,进行回顾性分析。结果 单因素分析 :肿瘤形状、肿瘤大小、瘤周水肿、恶性程度、手术切除程度、肿瘤部位和CT增强形态与脑膜瘤复发有明显关系 ,差异有显著性。多因素分析 :肿瘤形状、肿瘤部位、恶性程度、手术切除程度、CT增强形态是影响复发的主要因素。结论 肿瘤形状、肿瘤部位、手术切除程度、恶性程度和CT增强形态可作为预测脑膜瘤复发的显著危险因子和标准。
Objective To explore the influence of many clinical factors and imaging features on the recurrence of meningioma. Methods From 1993 to 1997, 83 cases of meningiomas with complete surgical data were retrospectively analyzed. Results Univariate analysis showed that tumor shape, tumor size, peritumoral edema, degree of malignancy, degree of resection, location of tumor and CT enhancement had a significant relationship with recurrence of meningiomas, the difference was significant. Multivariate analysis: tumor shape, tumor location, degree of malignancy, degree of resection, and CT enhancement morphology were the main factors affecting recurrence. Conclusions Tumor shape, tumor location, degree of resection, degree of malignancy and CT enhancement can be used as significant risk factors and criteria for predicting the recurrence of meningiomas.