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目的探讨复发性脑胶质瘤患者再次手术的指征、治疗及疗效。方法 2010年04月至2012年04月期间,我院20例复发性脑胶质瘤再次手术患者,对两次手术间隔、再次术前病理分型,以及首次手术切除情况,与术后生存期、生活质量的影响,进行观察和评估。结果首次术后12个月之后复发的,其再次手术治疗的术后生存期明显延长;低级别的复发性脑胶质瘤患者,其再次手术治疗的术后生存期明显延长;肉眼全切除的复发性脑胶质瘤患者,其再次手术治疗的术后生存期明显延长。结论对于复发脑胶质瘤患者,根据首次手术治疗及复发情况,选择再次手术治疗,可以延长患者术后的生存期,以及改善其生存质量。
Objective To investigate the indication, treatment and curative effect of recurrent glioma patients. Methods From April 2010 to April 2012, 20 patients with recurrent glioma who underwent reoperation in our hospital were divided into two operations, the preoperative pathological classification, the first surgical resection and the postoperative survival , The quality of life, to observe and assess. The results of the first postoperative 12 months after the recurrence of its reoperation after surgery was significantly longer survival; low-grade recurrent glioma patients, the re-operation after surgery significantly prolonged survival; total removal of macroscopic In patients with recurrent glioma, the survival rate after reoperation is significantly longer. Conclusion For patients with recurrent gliomas, the first surgery and relapse, the choice of reoperation can prolong postoperative survival and improve their quality of life.