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影响前庭神经鞘瘤大小的相关因素研究

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目的 初步探讨影响前庭神经鞘瘤大小的相关因素.方法 回顾性分析2013年6月至2023年6月于新疆医科大学第一附属医院神经外科接受乙状窦后入路手术治疗的382例前庭神经鞘瘤患者的临床资料,根据患者术前影像学资料,评估患者肿瘤大小.单因素及多元线性回归分析探讨影响前庭神经鞘瘤大小的相关因素.结果 患者肿瘤大小0.63~6.60 cm,中位大小2.97(2.20,3.80)cm.单因素分析显示,性别(P=0.010)、民族(P=0.001)、年龄(P=0.049)及肿瘤囊实性(P<0.001)与前庭神经鞘瘤大小相关.大型前庭神经鞘瘤最常表现为囊实性,中小型前庭神经鞘瘤最常表现为实性.BMI、手术侧别及居住地与前庭神经鞘瘤大小无相关性(P>0.05).多元线性回归分析结果显示,男性(B=0.390,P=0.001)及维吾尔族(B=0.611,P<0.001)患者肿瘤更大;年龄每增加1岁,肿瘤最大直径平均减小0.011 cm(B=-0.011,P=0.027).结论 患者性别、年龄和民族与前庭神经鞘瘤大小具有相关性,且男性、维吾尔族及年龄较小的患者,发生更大前庭神经鞘瘤的风险更高.
Study on the influencing factors related with the size of vestibular schwannomas
Objective To preliminarily investigate the related factors influencing the size of vestibular schwannomas.Methods The clinical data of patients with vestibular schwannomas who underwent retrosigmoid approach surgery at the department of neurosurgery of First Affiliated Hospital of Xinjiang Medical University from June 2013 to June 2023 were retrospectively analyzed.The tumor size of the patients was evaluated based on their preoperative imaging data.Univariate and multiple linear regression analyses were performed to explore the factors affecting the size of vestibular schwannomas.Results The tumor size of patients was ranging from 0.63 to 6.60 cm,with a median size of 2.97(2.20,3.80)cm.Univariate analysis showed that gender(P=0.010),ethnicity(P=0.001),age(P=0.049)and cystic solid tumor(P<0.001)were related to the size of vestibular schwannomas.Large-sized vestibular schwannomas were most commonly cystic-solid,and small and medium-sized vestibular schwannomas were most commonly solid.BMI,surgical side and place of residence were not correlated with the size of vestibular schwannomas(P>0.05).Multiple linear regression results showed that male(B=0.390,P=0.001)and Uyghur(B=0.611,P<0.001)patients were more likely to develop large tumors;with every 1-year increase in age,the maximum diameter of the tumor was reduced by an average of 0.011 cm(B=-0.011,P=0.027).Conclusion The gender,age,and ethnicity of patients are correlated with the size of vestibular schwannomas,and male,Uyghur,or younger patients were at higher risk of developing larger vestibular schwannomas.

vestibular schwannomasgenderageethnicitytumor size

李文壮、王泽宁、朱国华、李彦东、更·党木仁加甫

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新疆医科大学第一附属医院神经外科,新疆 乌鲁木齐 830045

前庭神经鞘瘤 性别 年龄 民族 肿瘤大小

新疆维吾尔自治区青年科学基金

2022D01C758

2024

局解手术学杂志
重庆市解剖学会,第三军医大学

局解手术学杂志

CSTPCD
影响因子:1.063
ISSN:1672-5042
年,卷(期):2024.33(5)
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