分析神经内镜辅助下切除颅底中线区脑肿瘤的临床价值

To Analyze the Clinical Value of Neuroendoscope-assisted Resection of Brain Tumors in the Midline of Skull Base

目的探析神经内镜辅助下切除颅底中线区脑肿瘤的临床价值。方法在2016年1月至2019年1月选取我院接受诊治的20例颅底中线区脑肿瘤患者作为案例进行对比研究。在患者入院时采取随机数字法的方式进行分组。根据患者的影像学检查方式明确肿瘤位置之后选择合理的入路,常规组采用显微镜切除术,实验组采取神经内镜切除术。总结并对比两组患者的手术指标与安全指标。结果实验组患者的手术时间、术中出血量以及住院时间均显著优于常规组,数据优势明显,各项数据对比结果均有意义(P<0.05);实验组患者并发症发生率、复发率均显著优于常规组,数据优势明显,各项数据对比结果均有意义(P<0.05)。结论神经内镜辅助下切除颅底中线区脑肿瘤的临床价值显著,能够更好地加快手术效率并提高手术治疗精准度,降低安全风险,值得在临床推广。

Objective To explore the clinical value of neuroendoscope-assisted resection of brain tumors in the midline of skull base. Methods From January 2016 to January 2019, 20 patients with brain tumors in the midline of skull base were selected as cases for comparative study. The patients were divided into groups by random number method at admission. After defining the location of the tumors according to the imaging examination, the reasonable approach was chosen. The routine group was treated with microsurgery, and the experimental group was treated with neuroendoscopic resection. To summarize and compare the operative and safety indicators of the two groups. Results The operation time, intraoperative bleeding volume and hospitalization time of the experimental group were significantly better than those of the conventional group. The data advantages were obvious, and the data comparison results were significant (P<0.05);the incidence of complications and recurrence rate of the experimental group were significantly better than those of the conventional group, the data advantages were obvious, and the data comparison results were significant (P<0.05). Conclusion Neuroendoscopy-assisted resection of brain tumors in the midline of skull base has significant clinical value. It can better speed up the operation efficiency, improve the accuracy of surgical treatment and reduce the safety risk. It is worth popularizing in clinical practice.