复发脑膜瘤的临床与超微形态学观察

首都医科大学学报 ›› 2000, Vol. 21 ›› Issue (2): 149-151.

复发脑膜瘤的临床与超微形态学观察

杨俊¹, 孙异临², 王贵怀¹, 张懋植¹

1. 首都医科大学附属北京天坛医院神经外科;2. 北京市神经外科研究所电镜室

收稿日期:1999-09-01 修回日期:1900-01-01 出版日期:2000-04-15 发布日期:2000-04-15

A Study on Ultrastructure and Clinic Management of Recurrent Meningiomas

Yang Jun¹, Sun Yilin², Wang Guihuai¹, Zhang Maozhi¹

Department of Neurosurgery, Beijing Tiantan Hospital, Affiliate of Capital University of Medical Sciences

Received:1999-09-01 Revised:1900-01-01 Online:2000-04-15 Published:2000-04-15

摘要/Abstract

摘要： 为探讨脑膜瘤术后复发的原因,对17例复发脑膜瘤术后标本进行了光镜和电镜检查。电镜检查结果显示,17例复发脑膜瘤中有9例瘤内部分细胞生长活跃,而光镜检查结果则显示17例复发脑膜瘤仍为一般脑膜瘤结构表现。提示：对复发脑膜瘤再次手术除力争全切外,还应对肿瘤的组织形态学做超微结构观察。对瘤细胞有生长活跃倾向的病例,建议术后辅以放射治疗,以控制或延缓肿瘤再次复发,延长病人生存期。

关键词: 脑膜瘤, 手术治疗, 超微病理学

Abstract: To demonstrate the causes of recurrence of meningiomas, reviewed their experiences of management in 17 patients with recurrent meningiomas. In every postoperative specimens, the light microscope (LM) and eletronic microscopy (EM) examinations were performed respectively. In 9 cases of 17 patients, the EM analysis revealed the trends to partial malignancy, while in all cases LM examinations exhibited typical nature of benign meningiomas. Conclusions for treatment of reccurent meningiomas, total resection should be emphasized and postopreative ultrastructure examinations of the specimens also be ercommended. It maybe effective for patients who have pathologogical malignancy trends to give adjuvent radiotherapy to improve the prognosis.

Key words: meningiomas, operative treatment, ultrastructure pathology

中图分类号:

R739.45

杨俊;孙异临;王贵怀;张懋植. 复发脑膜瘤的临床与超微形态学观察[J]. 首都医科大学学报, 2000, 21(2): 149-151.

Yang Jun;Sun Yilin;Wang Guihuai;Zhang Maozhi. A Study on Ultrastructure and Clinic Management of Recurrent Meningiomas[J]. Journal of Capital Medical University, 2000, 21(2): 149-151.

[1]	康永明, 方冬, 李学松, 周利群. 双侧上尿路尿路上皮癌30例临床诊疗分析[J]. 首都医科大学学报, 2014, 35(3): 290-294.
[2]	吴杨;苏玉金;李昕;刘光伟;李尧华;于顺. α-突触核蛋白在人脑膜瘤组织中的表达[J]. 首都医科大学学报, 2011, 32(6): 793-797.
[3]	杨力军;舒波;王硕;赵继宗;曹勇. 老年患者脑动静脉畸形的临床特点及治疗策略[J]. 首都医科大学学报, 2010, 31(2): 264-267.
[4]	孙异临;张懋植;曲宝清;张辉;李玮. 颅内血管外膜细胞瘤与血管瘤型脑膜瘤的超微病理鉴别[J]. 首都医科大学学报, 2009, 30(6): 845-848.
[5]	孙异临;张辉;曲宝清;张力伟. 颅内软骨瘤的临床表现、超微病理学特点及其组织发生[J]. 首都医科大学学报, 2007, 28(1): 124-127.
[6]	张震宇;李淑红;郭淑丽;刘崇东;王淑珍. 大子宫肌瘤腹腔镜下剥除术的可行性与安全性[J]. 首都医科大学学报, 2005, 26(5): 597-599.
[7]	张风;卢海;高丽琴;彭晓燕;卢宁. 急性视网膜坏死综合征的治疗[J]. 首都医科大学学报, 2005, 26(3): 285-287.
[8]	刘凤军;方民;金崇华;姜忠立. 蝶骨嵴脑膜瘤的眼部改变及其预后[J]. 首都医科大学学报, 2004, 25(4): 531-533.
[9]	田彦杰. 眼球破裂伤的手术治疗[J]. 首都医科大学学报, 2004, 25(4): 534-536.
[10]	孙振荣;栾国明;张斌. PET在颞叶癫痫术前定位诊断中的作用[J]. 首都医科大学学报, 2002, 23(4): 333-325.