Hodgson T J, Kingsley D P, Moseley I F
Department of Radiology, National Hospital for Neurology and Neurosurgery, London, UK.
J Neurol Neurosurg Psychiatry. 1995 Nov;59(5):545-7. doi: 10.1136/jnnp.59.5.545.
A retrospective study of 60 patients with meningiomas was conducted to evaluate the role of imaging in postoperative follow up. Using case notes and imaging studies, requests were assessed with reference to the indications for imaging radiological findings and effect on patient management. Patients were divided into three groups: 34 who had undergone a macroscopically complete resection, 18 with known residual tumour, and eight in whom surgery was not performed. These 60 patients underwent a total of 165 CT and 11 MRI studies. In the complete resection group only two patients developed a recurrence, both having highly suggestive symptoms or signs. It is concluded that routine imaging is not indicated in asymptomatic patients after complete tumour clearance. Both CT and MRI contribute to patient management in those with residual disease, MRI probably being the imaging method of choice.
对60例脑膜瘤患者进行了一项回顾性研究，以评估影像学在术后随访中的作用。利用病例记录和影像学研究，根据影像学检查的适应症、放射学表现及对患者治疗的影响对检查申请进行评估。患者被分为三组：34例接受了肉眼下全切手术，18例有已知残留肿瘤，8例未进行手术。这60例患者共进行了165次CT检查和11次MRI检查。在全切组中，只有2例患者复发，均有高度提示性的症状或体征。得出的结论是，肿瘤完全清除后，无症状患者无需进行常规影像学检查。CT和MRI对残留病灶患者的治疗均有帮助，MRI可能是首选的影像学检查方法。
