B超辅助显微手术治疗功能区胶质瘤疗效观察

Therapeutic effect of microsurgery with assistance of ultrasound for patients with glioma at the cerebral functional area

目的探讨B超辅助显微手术切除功能区胶质瘤的疗效。方法将88例脑胶质瘤患者分为A、B两组,A组(45例)行B超辅助显微镜下切除术,B组(43例)采取传统开颅手术,比较两组卡氏评分(Karnofsky Performance Status,KPS)及临床疗效。结果 A组全切率(84.44%)明显高于B组(58.14%),且无严重并发症及死亡病例,随访1年KPS评分显著高于B组,差异有统计学意义(P<0.05)。结论 B超辅助显微手术治疗功能区脑胶质瘤疗效满意、损伤小、并发症少,生存质量好,值得推广。

Objective To explore the therapeutic effect of microsurgery with assistance of ultrasound for patients with glioma at the cerebral functional area. Methods Eighty-eight patients with glioma were randomly divided into groups A and B. The group A was treated with microsurgery with assistance of ultrasound while the group B was treated with traditional operating methods. Karnofsky Performance Status and clinical therapeutic effect in the two groups were compared. Results The total removal rate of glioma in the group A（ 84. 44% ）was obviously higher than that of the group B （58. 14% ）. Moreover, there were no death and severe complications in the group A. All patients were followed up for 1 year. KPS in the group A was significantly higher than that in the group B （P 〈 0. 05）. Conclusion Microsurgery with assistance of ultrasound for patients with glioma at the cerebral functional area has satisfied effect, little damage, fewer complication and good quality of life.