摘要
目的观察显微手术联合神经内镜治疗囊性脑肿瘤的临床疗效。方法选择2012年5月—2016年4月广西医科大学第七附属医院神经外科治疗的囊性脑肿瘤86例患者作为研究对象,以投硬币法将其分为观察组和对照组,每组43例。观察组患者给予显微手术联合神经内镜治疗,而对照组患者仅使用显微手术治疗,比较分析2组患者脑肿瘤的切除效果,并根据2组患者术后预后情况及评分情况来判定疗效。结果观察组肿瘤全部切除38例(88.4%)高于对照组30例(69.8%)(x^2=4.497,P<0.05);观察组无神经功能障碍42例(97.7%)明显高于对照组36例(83.7%)(x^2=4.962,P<0.05)。无脑缺血影像表现41例(95.3%)明显高于对照组34例(79.1%)(x^2=5.108,P<0.05)。观察组并发症发生率为4.7%、复发率为2.3%、病死率为0,均低于对照组的18.6%、14.0%、9.3%(x^2=4.074、3.888、4.195,P均<0.05);观察组患者术后格拉斯哥(GOS)评分高于对照组(U=4.58,P<0.05)。结论显微手术联合神经内镜治疗囊性脑肿瘤不仅可以极大提高手术的全切率,而且还能显著减少并发症的发生率、复发率及病死率等,临床效果显著。
Objective To investigate the clinical curative effect of microsurgery combined with neuroendoscopy on cystic brain tumor.Methods From May 2012 to April 2016,86 cases of cystic brain tumors healed in our hospital were divided into observation group and control group by coin method（43 cases in each group）.Microsurgery and microsurgery Endoscopic treatment were performed in the observation group,while the control group of patients using only microsurgical treatment,comparative analysis of two groups of patients with brain tumor reseclion were performed,and according to the two groups of patients with prognosis and score to determine the effect.Results The observation group total tumor reseclion in 38cases（88.4%）,which was higher than that of the control group of 30 cases（69.8%）（χ^2=4.497,P0.05）（the observation group had no neurological dysfunction in 42 cases（97.7%）,which was significantly higher than the control group in36 cases（83.7%）（χ^2 =4.962,P0.05）,the observation group had no cerebral ischemic imaging changes in 41 cases（95.3%）,which was higher than the control group in 34 cases（79.1%）（χ^2 = 5.108,P〈0.05）.the complication rale of observation group was 4.7%.the recurrence rale was 2.3%,the fatality rale was 0,which was lower than the control group＇s 18.6%.14.0%,9.3%,respectively（χ^2= 4.074,χ^2=3.888,χ^2=4.195,P0.05）;The scores of Glasgow（COS） in the observation group were higher than those in the control group（U=4.58,P〈0.05）.Conclusion Microsurgery combined with neuroendoscopy can not only improve the rate o（total reseclion of cystic brain tumor,but also can significantly reduce the incidence of complications,recurrence and mortality.The clinical effect is remarkable.
作者
吴先良
黄俏
姜洪
邓忠勇
WU Xianliang HUANG Qiao JIANG Hong DENG Zhongyong(Department of Neurosurgery, The Seventh Affiliated Hospital of Guangxi Medical University, Wuzhou 534001, China)
出处
《疑难病杂志》
CAS
2017年第2期137-140,共4页
Chinese Journal of Difficult and Complicated Cases
关键词
显微手术
神经内镜
囊性脑肿瘤
临床疗效
Microsurgery
Neuroendoscopy
Cystic brain tumors
Clinical efficacy
