手术切除治疗脑肿瘤卒中的临床效果

Clinical effect of surgical removal in the treatment of brain tumor

目的分析手术切除治疗脑肿瘤卒中临床效果。方法选取吉林省肿瘤医院脑外科在2008-12至2016-12期间收治的脑肿瘤卒中患者112例的临床资料进行回顾分析,常规药物治疗患者为对照组(n=52),手术治疗患者为观察组(n=60)。给予对照组常规药物治疗,观察组采用手术切除治疗。比较两组的治疗效果、并发症发生率及肿瘤复发率。结果经过不同方式治疗后,观察组总有效率(96.67%)明显高于对照组(71.15%),且差异具有统计学意义(χ~2=14.084,P<0.001);治疗结束后,两组并发症主要以听力下降、语言障碍及偏瘫为主,观察组并发症发生率(16.66%)显著低于对照组(36.54%),且差异具有统计学意义(χ~2=5.733,P=0.017);观察组肿瘤复发率(3.33%)显著低于对照组(17.31%),且差异具有统计学意义(χ~2=6.519,P=0.011)。结论手术切除治疗脑肿瘤卒中治疗效果显著,且并发症发生率和肿瘤复发率均明显低于药物治疗,值得临床推广。

Objective This study objective was to analyse the clinical effect of surgical removal of brain tumors.Methods A total sample of112patients with brain tumor from a tumor hospital in Jilin Province from December2008to December2016were selected,and their clinical data was retrospectively analyzed.The control group(n=52)was given traditional medication treatment while the observation group(n=60)was treated with surgical excision.The therapeutic effect,the rates of complications and the frequency of recurrence were compared between the two groups.Results After different methods of treatment,the total effectiveness of the treatment of the observation group(96.67%)was significantly higher than that of the control group(71.15%),and the difference was statistically significant(χ2=14.084,P<0.001);the types of complications occurring in the two groups mainly covered hearing impairment,language disorders and hemiplegia,with the complications rate of observation group(16.66%)being significantly lower than that of the control group(36.54%),and the difference was statistically significant(χ2=5.733,P=0.017);the recurrence rate of observation group(3.33%)was significantly lower than that of the control group(17.31%),and the difference was statistically significant(χ2=6.519,P=0.011).Conclusions The effectiveness of surgical removal in the treatment of stroke caused by brain tumor is more evident than that of the traditional treatment with medication.The rates of complications and recurrence are significantly lower than that with drug therapy,therefore,surgical treatment for brain tumor has valuable clinical significance.