Analysis of the Related Factors Affecting Prognosis after Resecting Petroclival Meningiomas_West China Medical Journal

Authors：

WEI Pan ¹ , ZHANG Yuekang ² ,  ZHUANG Jinxue ¹ , CHEN Dengkui ¹ , TAO Chuanyuan ¹ , XUE Feng ¹ , ZHANG Wei ¹ , LI Hailong ¹ , ZHENG Xiaoqiang ¹

1. Department of Neurosurgery, No. 452 Hospital of the Chinese Liberation Army, Chengdu, Sichuan 610021, P. R. China; 2. Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

ZHUANG Jinxue, Email: genius_sean@163.com

Keywords：

巖斜區; 腦膜瘤; 預后; 相關因素; 生存分析

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目的　探討影響巖斜區腦膜瘤（PCM）預后的相關因素。方法　回顧分析解放軍452醫院2005年9月－2009年6月及四川大學華西醫院1999年9月－2009年2月110例患者的臨床資料及隨訪結果，通過單因素生存分析及Cox比例風險模型分析探討影響PCM預后的相關因素。結果　單因素生存分析發現8種相關因素影響PCM患者的預后，但Cox多因素分析僅發現腦干T2像高信號（OR=5.54，P=0.012）、腫瘤侵入腦干（OR=5.10，P=0.034）、病理高級別（OR=4.03，P=0.011）這3種因素有統計學意義。結論　腦干T2像高信號、腫瘤侵入腦干、病理高級別可影響巖斜區腦膜瘤患者的預后。

Citation： WEI Pan,ZHANG Yuekang,ZHUANG Jinxue,CHEN Dengkui,TAO Chuanyuan,XUE Feng,ZHANG Wei,LI Hailong,ZHENG Xiaoqiang. Analysis of the Related Factors Affecting Prognosis after Resecting Petroclival Meningiomas. West China Medical Journal, 2012, 27(7): 997-1000. doi: Copy

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13.	Bateman BT, Spellman J P, Gutin PH, et al. Meningioma resectionin the elderly: nationwide inpatient sample [J]. Neurosurgery, 2005, 57(5) : 855.
14.	Sabareesh K, Natarajan, Laligam N, et al. Petroclival meningiomas: multimodality treatment and outcomes at long-term follow-up[J]. Neurosurgery, 2007, 60(6): 965-981.
15.	Sonodal Y, Sakuradal K, Sainol M, et al. Multimodal strategy formanaging menigiomas in the elderly[J]. Acta Neurochirurgica, 2005, 147(2): 131.

1. 　余新光.巖斜區腫瘤手術人路選擇及相關問題[J].中華神經外科雜志, 2005, 21(3): 321-322.
2. 　Galindo GM , Sanz OJ. Vascular enueration as a prognsticator for colorectal carcinoma[J]. Eur J Cancer, 2000， 36(1): 55-60.
3. 　Teo P , Lee WY. Significant prognosticators after primary radiot herapy in 903 nodisseminated nasopharyngeal carcinoma evaluated by computer tomography[J]. Oncol Biol Phys, 1996, 36(2): 291-304.
4. 　Shafqat S, Elkind, M， Chiocca EA, et al. Petroclival meningioma presenting with pathological laughter[J]. Neurology, 1998, 50(7): 1918-1919.
5. 　Carvalho GA, Matthies C, Tatagiba M, et al. Impact of computed tomographie and magnetic resonance imaging findings On surgical outcome in petroclival meningiomas[J]. Neurosurgery, 2000, 47(6)：1287-1294．.
6. 　Samii M. Experience with 36 cases of petroclival meningiomas[J].Acta Neurochir (Wien), 1992, 118(4): 27-32.
7. 　Sekhar LN, Jannetta PJ, Burkhart LE, et al. Meningiomas involving the clivus : a six-year experience with 41 patient[J]. Neurosurgery, 1990, 27(6): 764-781.
8. 　Sekhar L, Swamy NKS, Jaiswal V, et al. Surgical excision of meningiomas involving the clivus： preoperative and intraoperative features as predictors of postoperative functional deterioration[J]. Neurosurg, 1994, 81(2): 860-868.
9. 　蘇健光, 李士其, 汪寅. 非典型腦膜瘤預后分析[J]. 中國臨床神經外科雜志, 2007, 12(3): 196-198.
10. 　Joseph E, Sandhyamani S, Rao MB, et al. Atypical meningioma:a clinicopathological analysis[J]. Neural India, 2000, 48(4): 338-342.
11. 　Jaakskelainen J, Haltia M, Servo A. Atypical and anaplastic meningiomas: radiology, surgery, radiotherapy and outcome [J]. Surg Neurol, 1986, 25(5): 233-242.
12. 　Ryojo AG, Mario NL, Laligam N. Patient-evaluated outcome after surgery for basal meningiomas[J], Neurosurgery, 2002, 50(3): 941-949.
13. 　Bateman BT, Spellman J P, Gutin PH, et al. Meningioma resectionin the elderly: nationwide inpatient sample [J]. Neurosurgery, 2005, 57(5) : 855.
14. 　Sabareesh K, Natarajan, Laligam N, et al. Petroclival meningiomas: multimodality treatment and outcomes at long-term follow-up[J]. Neurosurgery, 2007, 60(6): 965-981.
15. 　Sonodal Y, Sakuradal K, Sainol M, et al. Multimodal strategy formanaging menigiomas in the elderly[J]. Acta Neurochirurgica, 2005, 147(2): 131.

West China Medical Journal

Analysis of the Related Factors Affecting Prognosis after Resecting Petroclival Meningiomas

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