神经内镜辅助显微手术治疗囊性脑肿瘤患者的临床效果

Clinical Effect of Neuroendoscopic Assisted Microsurgery in the Treatment of Cystic Brain Tumors

目的观察神经内镜辅助显微手术治疗囊性脑肿瘤的临床效果。方法选择2015年3月至2016年4月就诊于乐山市老年病专科医院治的90例囊性脑肿瘤患者,根据随机数字表法分为两组,每组45例。对照组予以显微手术治疗,试验组实施神经内镜辅助显微手术治疗。对比两组肿瘤切除率、复发率、病死率以及并发症发生率。结果与对照组比较,试验组肿瘤全部切除率明显提高,差异有统计学意义(P<0.05);两组复发率和病死率比较,差异无统计学意义(P>0.05);两组面神经功能损伤、三叉神经损伤、肢体瘫痪、外展神经损伤等并发症发生率比较,差异无统计学意义(P>0.05)。结论对囊性脑肿瘤患者实施神经内镜辅助显微手术治疗,可将显微镜手术死角区域肿瘤切除,肿瘤全面切除率较高,值得临床推广。

Objective To explore the clinical effect of neuroendoscopic assisted microsurgery in the treatment of cystic brain tumors. Methods From April 2015 to April 2016,90 patients with cystic brain tumors who were treated in Leshan City Geriatrics Hospital were randomly divided into two groups according to the random number table method. The patients in the control group were treated with microsurgical treatment. The patients in the observation group were treated with neuroendoscopic assisted microsurgery. Comparison of two groups of tumor resection rate,recurrence rate,mortality and the incidence of complications. Results Compared with the observation group,the total resection rate of the control group was significantly higher than that of the control group（ P〈 0. 05）. There was no significant difference between the two groups in the recurrence rate and mortality（ P 〉0. 05）. There was no significant difference in the incidence of complications such as facial nerve injury,trigeminal nerve injury,limb paralysis and abducens nerve injury（ P 〉0. 05）. Conclusions Nerve endoscopic assisted microsurgical treatment of cystic brain tumor can be used to remove the tumor in the dead zone of the microscope. The total resection rate of the tumor is high and deserves clinical promotion.