Related factors of aggravated cerebral edema after meningioma surgery
- VernacularTitle:脑膜瘤术后脑水肿加重的相关因素分析
- Author:
Qing ZHAO
1
;
Shun LI
;
Yang-Yang TANG
;
Chuan ZHAO
;
Man-Yi XIE
;
Zhong-Lin LI
Author Information
1. 徐州医科大学附属医院神经外科
- Keywords:
meningioma;
postoperative cerebral edema;
risk factor;
peritumoral edema
- From:Journal of Regional Anatomy and Operative Surgery
2019;28(1):55-59
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the risk factors of aggravated cerebral edema after meningioma surgery.MethodsRespectively analyze the clinical data of 187 patients received neurosurgery operation in our hospital from January 1, 2016 to February 5, 2018 and their postoperative aggravated cerebral edema, the related risk factors for brain edema after meningioma surgery was summarized.Results The incidence of aggravated cerebral edema in patients without preoperative edema (26.23％) was higher than that in patients with preoperative edema (13.8％), the difference was not statistically significant, probably due to the small number of cases or other related factors.Multivariate analysis of all related factors found that preoperative edema was the influencing factor for the increase of brain edema after meningioma surgery (P=0.005).It was found by single factor analysis that tumor site was a risk factor for the aggravation of cerebral edema after meningioma surgery.Multivariate analysis and multiple rate comparisons revealed that the sagittal sinus falx area was an independent risk factor for the aggravation of cerebral edema after meningioma surgery.ConclusionThe presence of peritumoral edema before surgery may be a protective factor for the postoperative brain edema.The incidence of postoperative cerebral edema was significantly higher in meningiomas located near the sagittal sinus falx than that of other sites.Therefore, meningiomas located near the sagittal sinus falx should be attached great importance.During the operation, the venous drainage should be protected, the perioperative management should be strengthened, and hormone and subsequent dehydration should be given timely to improve the prognosis of patients.
