摘要目的 探讨老年人无症状性脑膜瘤的临床特点,早期诊断和治疗.方法 回顾分析19例老年人无症状性脑膜瘤患者的临床治疗和随访资料.结果 8例患者首诊行手术治疗,1例行γ-刀治疗,4例在随访中行手术治疗,6例未做治疗而长期观察未发现瘤体迅速增长.手术治疗者除术后1例死亡,其余患者未遗留长期的神经功能障碍.结论 老年人无症状性脑膜瘤不需急于手术,可严密进行3-6个月的综合临床观察和动态影像学跟踪再决定治疗方案,术中应该视具体情况决定肿瘤切除程度,把保证老年人的生存质量放在首位,不能影响术后生活质量.

abstractsObjective To explore the clinical features,early diagnosis and treatment in elderly patients with asymptomatic meningomas.Methods The patients clinical datas and follow-up results of 19elderly patients with asymptomatic meningomas were retrospectively analyzed.Results 8 patients accepted surgery at the first diagnosis,one patient accepted γ radiosurgery,4patients accepted surgery in the follow-up period.The other 6patients who did not accept therapy were followed up and it was found that the tumor did not grow fast in the long period.Of all postoperative patients,one patient died,others without long-term disability in nervous systerm.Conclusion If the patients was diagnosed asymptomatic meningoma,the patient did not need surgery at once,whether surgery taken or not should follow up from three to six months in clinic data and diagnostic imaging.The elderly patient's living quality should be considered at first position during operation.The extent of tumor resection should be decided depending on specific conditions.