侧俯卧位后正中入路切除胸段脊膜瘤效果

The effect of side prone position combined the middle road cut for thoracic meningioma

目的探讨侧俯卧位后正中入路切除胸段脊膜瘤的临床效果。方法选择胸段脊膜瘤患者80例,按照随机数字法分为两组,各40例,均在气管插管全身麻醉进行,观察组患者采用侧俯卧位后正中入路,对照组采用单纯俯卧位下后正中入路,比较两组手术时间、术中出血、术后引流量,并对所有患者住院期间并发症进行统计。结果观察组手术时间显著短于对照组(P<0.05),术中出血显著少于对照组(P<0.05),术后引流量显著少于对照组(P<0.05),观察组发生术后感觉缺失、神经根痛以及术后截瘫的整体比例显著低于对照组(P<0.05)。结论侧俯卧位后正中入路切除胸段脊膜瘤术中出血少,术后恢复快,并发症少,推荐临床使用。

Objective To investigate the effect of side prone position combined the middle road cut for thoracic meningioma. Methods 80 cases of thoracic meningioma patients were choosed and divided into two groups according to the randomly, each 40 cases,all were used the general anesthesia,the observation group were used lateral prone position after the middle of the road,the control group were used simple midline approach,then were operative time, blood loss, postoperative drainage, and complications during hospitalization statistics for all compared. Results The observation group with operative time was significantly shorter than control group（P〈0.05）, blood loss was significantly less than control group（P〈0.05）, postoperative drainage was significantly less than control group（P〈0.05）, observation group with postoperative sensory loss, nerve root pain and the overall proportion of postoperative paraplegia rate were significantly lower than control group（P〈0.05）. Conclusion The side prone position combined the middle road cut for thoracic meningioma has less bleeding, faster recovery, fewer complications,so it is recommended for clinical use.