嗅沟脑膜瘤术后患者嗅觉障碍危险因素分析

Risk factors for postoperative olfactory disorder in olfactory groove meningioma patients

目的分析嗅沟脑膜瘤术后患者嗅觉障碍的危险因素。方法178例嗅沟脑膜瘤患者根据术后是否存在嗅觉障碍分为嗅觉障碍组(74例)和嗅觉正常组(104例),采用单因素分析法和多因素Logistic回归分析法分析其嗅觉障碍的危险因素。结果单因素分析显示,肿瘤最大径、术前嗅觉功能、手术人路是嗅沟脑膜瘤术后嗅觉障碍的影响因素;多因素分析显示,肿瘤最大径、术前嗅觉功能、手术人路是嗅沟脑膜瘤术后嗅觉障碍的危险因素。结论嗅沟脑膜瘤术后嗅觉障碍危险因衮是肿瘤最大径、术前嗅觉功能、手术人路。

Objective To analyze the risk factors for postoperative olfactoiy disorder in patients with olfactoiy groove meningioma. Methods Totally 178 patients with olfactoiy groove meningioma were divided into the olfactoiy disorder group (74 cases) and normal olfactoiy group (104 cases). The risk factors for olfactoiy disorder were analyzed by univari-ate analysis and multivariate logistic regression analysis. Results Univariate analysis showed that the maximum diameter of tumor, preoperative olfactoiy level and surgical approach were the risk factors for olfactoiy disorder after operation of ol-factoiy groove meningioma. Multivariate analysis showed that the maximum diameter of tumor, preoperative olfactoiy level and surgical approach were the risk factors of olfactory disorder after operation of olfactoiy groove meningioma. Conclusion The risk factors for olfactoiy disorder after operation of olfactoiy groove meningioma are tumor maximum diameter, preop-erative olfactory level, and surgical approach.