摘要
目的:探究神经内镜下不同手术入路治疗前鞍区及颅窝底肿瘤的效果。方法:选取笔者所在医院2015年1月-2018年1月收治的120例前颅窝底及鞍区肿瘤患者,将其随机分为观察组和对照组,每组60例。对照组采用眶上额底入路,观察组采用扩大经蝶入路手术。比较两组手术指标、并发症发生率、复发率。结果:观察组手术时间、住院时间、术中出血量均明显优于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。观察组1年内复发率明显低于对照组,差异有统计学意义(P<0.05)。结论:神经内镜下治疗前颅窝底及鞍区肿瘤应用扩大经蝶入路手术可降低肿瘤复发率和并发症发生率,对于合适的病例可作为首选的手术方式。
Objective:To explore the effect of different surgical approaches under neuroendoscopy in the treatment of tumors in the anterior sellar region and the base of cranial fossa.Method:A total of 120 patients with tumors in the anterior sellar region and the base of cranial fossa treated in our hospital from January 2015 to January 2018 were selected,and randomly divided into the observation group and the control group,with 60 cases in each group.The supraorbital frontal approach was used in the control group,and the the extended transsphenoidal approach was used in the observation group.The surgical indexes,complication rate and recurrence rate of the two groups were compared.Result:The operation time,hospital stay and intraoperative blood loss in the observation group were significantly better than those in the control group,the differences were statistically significant(P<0.05).The complication rate in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).The recurrence rate within one year in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Neuroendoscopy for the treatment of tumors in the anterior cranial fossa and saddle area can be used to reduce the tumor recurrence rate and complication rate.It can be used as the preferred surgical method for suitable case.
作者
张智洲
张小锋
刑春阳
林国诗
ZHANG Zhizhou;ZHANG Xiaofeng;XING Chunyang;LIN Guoshi(Zhangzhou Hospital Affiliated to Fujian Medical University,Zhangzhou 363000,China)
出处
《中外医学研究》
2019年第35期52-54,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
神经内镜
眶上额底入路
扩大经蝶窦入路
并发症
Neuroendoscopy
Supraorbital frontal approach
Expanded transsphenoidal approach
Complications
