[1]王　裕　郭　毅　颜成睿　何华钰　王任直　马文斌.老年胶质瘤的围手术期处理（附58例报告）[J].中国临床神经外科杂志,2016,(08):469-470.[doi:10.13798/j.issn.1009-153X.2016.08.008]
　WANG Yu,GUO Yi,YAN Cheng-rui,et al.Perioperative management in aged patients with gliomas (report of 58 cases)[J].,2016,(08):469-470.[doi:10.13798/j.issn.1009-153X.2016.08.008]
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老年胶质瘤的围手术期处理（附58例报告）()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2016年08期
页码:
469-470
栏目:
论著
出版日期:
2016-08-18

文章信息/Info

Title:
Perioperative management in aged patients with gliomas (report of 58 cases)
文章编号:
1009-153X（2016）08-0469-02
作者:
王　裕　郭　毅　颜成睿　何华钰　王任直　马文斌
100730 北京，中国医学科学院北京协和医院神经外科
通讯作者：马文斌，E-mail：mawb2001@hotmail.com
Author(s):
WANG Yu;  GUO Yi;  YAN Cheng-rui;  HE Hua-yu;  WANG Ren-zhi;  MA Wen-bin.
Department of Neurosurgery, Pekin Union Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China
关键词:
胶质瘤; 老年; 显微手术; 围手术期; 处理
Keywords:
Glioma;  Older patients;  Perioperative period;  Managemen;  Microsurgery
分类号:
R 739.41; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2016.08.008
文献标志码:
A
摘要:
目的 探讨老年胶质瘤围手术期的处理方法和注意事项。方法 回顾性分析2010~2015年手术治疗的58例老年胶质瘤的临床资料。结果 肿瘤全切除20例，部分切除27例，活检术11例。无手术死亡病例。术后4例失语加重，3例颅内感染，5例肺部感染，1例术区出血。结论 老年胶质瘤手术方案应本着功能为先的原则，制定个体化方案，完善术前检查和评估，严格控制手术适应证，术后积极预防和处理并发症，提高患者生活质量。
Abstract:
Objective To sumarize the experience in perioperative management in elderly patients with glioma. Methods The clinical data of 58 elderly patients with gliomas who underwent microsurgery between 2010 and 2015 in Pekin Union Hospital were analyzed retrospectively. Results Total and partial resections of tumors were achieved in 20 patients (34.5%) and 27 (46.5%), respectively. The biopsies were performed in 11 patients (19%). The aphasia worsened in 4 patients after operation. Postoperative intracranial infections and pulmonary infections ocurred in 3 and 5 patients, respectvely. Conclusion The resection of gliomas in elderly patients should be based on the principle of functionality first. Developing individualized programs, improving the preoperative examination and assessment, controlling strictly the surgical indications, preventing and managing postoperative actively complications are helpful to improve the quality of life.

参考文献/References:

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[3] Laigle-Donadey F, Delattre JY. Glioma in the elderly [J]. Curr Opin Oncol, 2006, 18(6): 644-647.
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更新日期/Last Update: 2016-08-19