立体定向引导下基底节区肿瘤切除疗效分析

Analysis of the effection of tumor resection in basal ganglia region by stereotactic guidance

目的探讨立体定向技术在基底节区肿瘤手术中的应用。方法对本院2007年7月~2015年7月收治的49例基底节区肿瘤采用手术治疗的患者进行分组分析,观察组13例为采用立体定向引导下肿瘤切除,对照组36例采用传统开颅肿瘤切除。两组分别在肿瘤定位、重要功能保护、术后并发症等方面进行对比分析。结果观察组肿瘤定位迅速、准确,重要功能保护完整,无术后并发症出现。对照组定位不准造成更改入路4例,重要功能出现障碍或较术前加重30例次,术后并发症明显增加。结论采用立体定向技术引导下行基底节区肿瘤切除术,对肿瘤定位极为精确,能够在避开重要功能区的前提下完整切除肿瘤,避免造成不必要的功能障碍,且手术操作时间大大缩短,术后并发症极少出现。

Objective To investigate the application of stereotactic technique in the operation of the basal ganglia tumors.Methods 49 patients with basal ganglia tumor treated in our hospital from 2007~2015were collected.13 cases were resected by stereotactic guided,36 cases were by traditional craniotomy.Tumor location,function protection and postoperative complications were compared between them.Results In the former,the tumor location was rapid and accurative,function protection was intactive,and no postoperative complications were occurred.The latter,there were 4cases had to change surgical approach as inaccurate location and 30 cases of important functional disability happened or worse,the postoperative complications were significantly increased.Conclusion The stereotactic technique is used to guide the resection of basal ganglia tumor,and the tumor location is accurate,and it can avoid the unnecessary dysfunction,and the operation time is shorter,and the complications are rare.