恶性脑膜瘤的特点与治疗(附22例临床分析)

The clinical manifestations and therapy of malignant meningiomas (22 cases analysis)

目的探讨颅内恶性脑膜瘤的临床表现、影像、病理特点和治疗。方法复习1986～2007年经治的22例恶性脑膜瘤,并结合文献进行分析。结果恶性脑膜瘤的临床表现和影像学检查与良性脑膜瘤有显著不同,但确诊需病理学检查。结论恶性脑膜瘤的治疗以显微手术切除为主,术后放疗可延长生存时间。

Objective To explore the clinical manifestations, the imageology and pathology characteristics, and the therapy methods of intracranial malignant meningiomas. Methods 22 cases of intracranial malignant meningiomas from 1986 to 2007 have been reviewed, and an analysis was made according to the literature. Results There were significant differences in the clinical manifestations and imageology characteristics between the malignant meningiomas and benign meningiomas. The final diagnosis should be made according to pathology. Conclusion Microsurgery was the main therapy methods for the intracranial malignant meningiomaso Postoperative radiotherapy can prolong the survival time.