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題 名 | Surgical Treatment of Intracranial Meningiomas in Geriatric Patients=外科治療老年人的顱內腦膜瘤 |
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作 者 | 劉安祥; 洪純隆; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 14:8 1998.08[民87.08] |
頁 次 | 頁498-503 |
分類號 | 417.8271 |
關鍵詞 | 外科治療; 老年人; 顱內腦膜瘤; Meningioma; Geriatric patients; |
語 文 | 英文(English) |
中文摘要 | 從1982年4月至1997年4月有36位老年人因顱內腦膜瘤接受手術治療,他們的年齡 從 65 歲至 78 歲,平均 70.2 歲,27 位病人是女性,9 位是男性。13 例腫瘤的位置在皮 質凸面處,6 例在大腦鐮或矢狀處,在顱底處或後顱窩處有 16 例,手術死亡率是 11.1 % , 在三個月的追蹤,死亡率增加至 16.7 %,與小於 65 歲的手術死亡率( 3.8 %)比較 ,在統計上是有意義的,但仍可接受。14 例病人術前其身體狀況在 ASA 中第三級有較高的 術後併發症( 11 例,78.6 %),術後有 23 位病人得到較好結果。 有關於影響術後癒後 結果的各種因子加以探討,結果顯示出術前身體狀況及神經狀態對術後結果較有意義的影響 ,至於年齡而言,並不是老年人在接受顱內腫瘤手術的阻礙。 |
英文摘要 | We studied retrospectively a series of 36 patients who underwent the surgical removal of an intracranial meningioma between April, 1982 and April, 1997. Their ages ranged from 65 to 78 years (mean age: 70.2 years); 27 patients were female, and 9 were male. Thirteen (36.1%) were located at the convexity, 6(16.7%) at the falx/parasagittal area, and 16(44.4%) at the skull base, tentorium, and posterior fossa. Operative mortality was 11.1%, but the rate was increased to 16.7% at 3 months follow-up. It was significantly higher than the younger age group (p<0.05). Postoperative complications were manifested in 17 of 36 patients (47.2%). The postoperative morbidity rate was significantly higher in patients with class Ⅲ of ASA physical status (American Society of Anesthesiology classification) . Twenty-three (63.9%) patients had good postoperative outcome (Karnofsky rating scale of 80 or more). Various prognostic factors were evaluated, the most important of which were preoperative general health condition and neurological status. Age per se is not a contraindication to the surgery of intracranial meningiomas in the elderly patient. |
本系統中英文摘要資訊取自各篇刊載內容。