恶性脑膜瘤的综合治疗

Combined Treatment of Malignant Meningioma

对21例恶性脑膜瘤患者治疗情况进行了回顾性总结,其中单纯手术8例,手术+放疗6例,手术+化疗4例,手术+放疗+化疗3例。恶性脑膜瘤尽管多能全切或次全切除,但是疗效较差。其主要问题是术后复发率高,平均复发间期短,生存期短。认为采用显微技术尽可能全切肿瘤,术后进行综合治疗是提高恶性脑膜瘤治疗效果的有效办法。

A retrospective study was performed in 21 patients with malignant meningioma, of which 8 were dealt with by operation only, 6 by chemotherapy following operations, 4 by operation further with radiotherapy, and 3 in combination of the three. the study suggests that nearly all the maglignant tumours can be removed completely or partially, but with poor therapeutic effectiveness, high recurrent rate, short mean duration of recurrence, and short survival. Accordingly, complex therapy following complete removal by microsurgery might be one of the effective treatments of malignant meningioma.