动态牵拉显微神经外科手术治疗内侧型小脑幕脑膜瘤的效果及对患者神经功能的影响

Effect of dynamic traction microneurosurgery on medial tentorial meningioma and its effect on neurological function of patients

目的探究动态牵拉显微神经外科手术治疗内侧型小脑幕脑膜瘤的效果及对患者神经功能的影响。方法50例内侧型小脑幕脑膜瘤患者,根据手术方法的不同分为对照组及观察组,各25例。对照组应用脑自动牵开器手术治疗,观察组应用动态牵拉显微神经外科手术治疗。比较两组患者的治疗效果,脑牵拉伤发生情况,治疗前后美国国立卫生研究院卒中量表(NIHSS)评分。结果观察组患者的总有效率为100.00%,高于对照组的84.00%,差异具有统计学意义(P<0.05)。观察组脑牵拉伤发生率4.00%低于对照组的24.00%,差异具有统计学意义(P<0.05)。治疗前,两组患者的NIHSS评分对比,差异无统计学意义(P>0.05);治疗后7、14、20 d,观察组患者的NIHSS评分均低于对照组,差异均具有统计学意义(P<0.05)。结论内侧型小脑幕脑膜瘤患者采用动态牵拉显微神经外科手术治疗可有效减少脑自动牵开器应用率,且有助于降低术后神经损伤,促使患者实现早期康复。

Objective To investigate the effect of dynamic traction microneurosurgery on medial tentorial meningioma and its effect on neurological function of patients.Methods A total of 50 patients with medial tentorial meningioma were divided into control group and observation group by different surgical methods,with 25 cases in each group.The control group was treated with an automatic brain retractor,and the observation group was treated with dynamic traction microneurosurgery.The therapeutic effect,occurrence of brain traction injury,and National Institutes of Health stroke scale(NIHSS)score before and after treatment between the two groups were compared.Results The total effective rate was 100.00%in the observation group,which was higher than 84.00%in the control group,and the difference was statistically significant(P<0.05).The incidence of brain traction injury 4.00%in the observation group was lower than 24.00%in the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in NIHSS score between the two groups(P>0.05).After 7,14 and 20 d of treatment,the NIHSS score in the observation group was lower than those in the control group,and the difference was statistically significant(P<0.05).Conclusion Dynamic traction microneurosurgery can effectively reduce the application rate of automatic brain retractor in patients with medial tentorium meningioma,and help to reduce the postoperative neurological injury,and promote the early recovery of patients.