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目的分析幕上脑胶质瘤患者围手术期并发症情况,为临床并发症分类及治疗提供客观依据。方法回顾性分析外科住院手术治疗、有完整病案记录和随访记录的100例幕上大脑半球胶质瘤患者的资料。将术后并发症分类为神经学、局部、系统并发症,重点分析术后神经学并发症发生的原因及防治方法。结论神经外科医生必须根据病史、神经学症状与体征、术前检查,制订完善的个体化的手术计划。全面掌握手术解剖包括病理解剖和功能解剖。预见并尽量避免术后并发症的发生,及时合理的治疗术后并发症。
Objective To analyze the perioperative complications of patients with supratentorial gliomas and provide an objective basis for the classification and treatment of clinical complications. Methods We retrospectively analyzed the data of 100 patients with supratentorial cerebral hemisphere glioma who underwent surgical inpatient surgeries with complete medical records and follow-up records. The postoperative complications were classified as neurological, local and systemic complications. The causes of postoperative neurological complications and the prevention and treatment methods were analyzed. Conclusion Neurosurgeons must formulate a comprehensive and individualized surgical plan based on their medical history, neurological symptoms and signs, and preoperative examination. Full mastery of surgical anatomy including pathological anatomy and functional anatomy. Predict and try to avoid the occurrence of postoperative complications, timely and reasonable treatment of postoperative complications.