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目的 分析脑膜瘤术后早期继发性癫痫的影响因素.方法 回顾性分析142例脑膜瘤手术患者的临床资料.单因素分析结合多因素分析研究其发生术后早期癫痫的影响因素.结果 多因素分析发现,年龄大、术前癫痫发作、肿痛复发、瘤周组织水肿、运动障碍、幕上肿瘤、肿瘤直径大是术后早期癫痫发生的危险因素,术前预防用药、术后预防用药是保护因素(x2=6.139、4.358、5.119、6.121、5.173、4.879、5.452、6.189、5.563,均P＜0.05).结论 应采取相应的防控措施,预防及治疗继发性癫痫.

Objective To analyze the impact factors of early postoperative epilepsy.Methods Retrospective analysis the 142 clinical data of meningioma operation patients.Study the influence factors of early postoperative epilepsy by single factor analysis combined with multivariate analysis.Results Of multivariate analysis,age,preoperative epilepsy,tumor recurrence,tumor edema,movement disorders,supratentorial neoplasms,tumor diameter in the early postoperative epilepsy risk factors,preoperative prophylactic medication,postoperative prophylaxis were the protective factors(x2 =6.139.4.358,5.119,6.121,5.173,4.879,5.452,6.189,5.563,all P ＜0.05).Conclusion The corresponding prevention measures,prevention and treatment should be taken for early epilepsy.