Abstract: 【Abstract】 Objective To summarize the clinical features and treatment experience in elderly patients with asymptomatic meningiomas. Methods The data of 58 elderly patients with asymptomatic meningiomas from March 2009 to March 2016 were retrospectively analyzed. Results Fifty-eight patients were included in the study and were followed up for ranging from 18 to 36 months. Of them, Twenty-one patients accepted surgery at the first diagnosis, 10 patients accepted γ radiosurgery, 12 patients accepted surgery in the follow-up period. The tumor body was not found to increase rapidly in all patients, including 15 patients without any therapy during follow-up. The tumor growth was not more than 10 mm. The patients did not leave long-term neurological dysfunction except 3 cases died of postoperative complications. Conclusions With regard to as asymptomatic meningioma of elderly patients, conservative treatment with close follow-up review for three to six months may be the best therapeutic strategy before surgery, lessening surgery-related complications and ensuring the quality of life.

Key words: Elderly patient, Asymptomatic meningioma, Therapy, Diagnose

摘要： 【摘要】目的探讨老年人无症状性脑膜瘤的临床特点，早期诊断和治疗过程。方法回顾分析2009年3月至2016年3月收治的58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21例患者首诊行手术治疗，10例行γ-刀治疗，12例在随访中行手术治疗，15例未做治疗而长期观察未发现瘤体迅速增大.手术治疗者除术后3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。

关键词: 老年人, 诊断, 治疗 , 无症状性脑膜瘤