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小听神经瘤——162例患者的手术经验及文献综述

Small Cerebellopontine Angle Meningioma-Surgical Experience of 162 Patients and Literature Review.

作者信息

Bu Jiyuan, Pan Pengjie, Yao Hui, Gong Weiyi, Liu Yuan, Yu Zhengquan, Wang Zhong, Wu Jiang, Chen Gang

机构信息

Department of Neurosurgery & Brain and Nerve Research Laboratory, The First Affiliated Hospital of Soochow University, Suzhou, China.

Department of Neurosurgery, First People's Hospital of Kunshan, Suzhou, China.

出版信息

Front Oncol. 2020 Oct 9;10:558548. doi: 10.3389/fonc.2020.558548. eCollection 2020.

DOI:10.3389/fonc.2020.558548
PMID:33163399
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7581792/
Abstract

OBJECTIVE

To retrospective analyze the clinical data of 162 patients with small cerebellopontine angle meningiomas. To compare with the nature of tumors, symptoms pre- and post-treatments, neurological deficit, and prognosis in literatures. To explore the surgical outcomes of small cerebellopontine angle meningiomas and summarize the surgical experience.

METHODS

All of 162 patients with small cerebellopontine angle meningiomas underwent surgery between January 2010 and December 2019 in the neurosurgery department of the First Affiliated Hospital of Soochow University. This cohort of eight literatures reported about stereotactic radiotherapy of small cerebellopontine angle meningiomas between January 2010 and December 2019. All clinical data were obtained for analysis.

RESULTS

Compared with stereotactic radiotherapy, surgical treatment for small cerebellopontine angle meningiomas lead to the better results in relieving symptoms and inhibiting tumor progression. Surgical treatment can obtain the exact pathological examination results to guide the further treatment.

CONCLUSIONS

Surgical treatment should be the first choice for small cerebellopontine angle meningiomas.

摘要

目的

回顾性分析162例小脑桥脑角脑膜瘤患者的临床资料，与文献中肿瘤性质、治疗前后症状、神经功能缺损及预后进行比较，探讨小脑桥脑角脑膜瘤的手术疗效并总结手术经验。

方法

2010年1月至2019年12月期间，苏州大学附属第一医院神经外科对162例小脑桥脑角脑膜瘤患者进行了手术。该队列中有八篇文献报道了2010年1月至2019年12月期间小脑桥脑角脑膜瘤的立体定向放射治疗情况。获取所有临床资料进行分析。

结果

与立体定向放射治疗相比，小脑桥脑角脑膜瘤的手术治疗在缓解症状和抑制肿瘤进展方面效果更好。手术治疗能够获得确切的病理检查结果以指导进一步治疗。

结论

手术治疗应作为小脑桥脑角脑膜瘤的首选治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77e0/7581792/e8ec3383527e/fonc-10-558548-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77e0/7581792/f23014ebd042/fonc-10-558548-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77e0/7581792/e8ec3383527e/fonc-10-558548-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77e0/7581792/f23014ebd042/fonc-10-558548-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77e0/7581792/e8ec3383527e/fonc-10-558548-g002.jpg

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Gamma Knife stereotactic radiosurgery for cerebellopontine angle meningioma.伽玛刀立体定向放射外科治疗桥小脑角脑膜瘤。
Clin Neurol Neurosurg. 2019 Dec;187:105557. doi: 10.1016/j.clineuro.2019.105557. Epub 2019 Oct 20.
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Gamma Knife radiosurgery for intracranial benign meningiomas: follow-up outcome in 130 patients.伽玛刀放射外科治疗颅内良性脑膜瘤：130 例患者的随访结果。
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