颅咽管瘤复发次数与术后生活质量的关系 |
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引用本文: | 周忠清,石祥恩,吴斌,孙玉明,钱海,范涛,李志强,张永力.颅咽管瘤复发次数与术后生活质量的关系[J].中国微侵袭神经外科杂志,2008,13(8). |
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作者姓名: | 周忠清 石祥恩 吴斌 孙玉明 钱海 范涛 李志强 张永力 |
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作者单位: | 北京三博脑科医院神经外科,北京,100093 |
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基金项目: | 北京市两城区优秀人才培养专项经费资助项目 |
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摘 要: | 目的探讨颅咽管瘤复发次数与术后病人生活质量的关系。方法回顾性分析39例复发颅咽管瘤病人的临床资料与随访结果。病人术后生活质量按Karnofsky生活质量评分法评估,分为:能工作或上学、生活能自理、生活不能自理、死亡。结果肿瘤全切除33例(84.6%),次全切除6例(15.4%)。围手术期死亡2例(5.1%)。术后平均随访15.5个月,随访期第1次复发者与第2次复发者生活质量无明显差异;第3次、第4次复发者术后生活质量明显恶化。结论第3次和第4次复发颅咽管瘤的治疗应以改善病人生活质量为主,不宜强求根治性切除肿瘤。
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关 键 词: | 颅咽管瘤 复发 生活质量 |
Relationship between the recurrence frequency of craniopharyngioma and quality-of-life in patients after tumorectomy |
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Institution: | ZHOU Zhongqing; SHI Xiang en; WU Bin; et al. Department of Neurosurgery; Beijing Sanbo Brain Hospital; Beijing 100093; China; |
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Abstract: | Objective To study the relationship between the recurrence frequency of craniopharyngioma and quality-of-life in the patients after tumorectomy. Methods Clinical data and follow-up results from 39 patients suffering recurrence of craniopharyngioma after surgery were analyzed retrospectively. The quality-of-life was evaluated by the Karnofsky Performance Status Scale: being able to work or go to school, being able to take care of oneself, being unable to take care of one, and dead. Results Total resection of... |
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Keywords: | craniopharyngioma recurrence quality of life |
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