经额底入路与经翼点入路对颅脑鞍区肿瘤的生活质量及安全性分析

Analysis of Quality of Life and Safety of sellar Region Tumors via frontal and pterional Approaches

目的探讨经额底入路与经翼点入路对颅脑鞍区肿瘤的生活质量及安全性。方法回顾性分析南阳市第二人民医院2017年6月—2019年6月收治的65例颅脑鞍区肿瘤患者,根据手术入路方式的不同,将65例患者分为经额底入路组(33例)与经翼点入路组(32例)。经额底入路组采用经额底入路的手术方式,经翼点入路组采用经翼点入路的手术方式,对比两组患者干预前后的生活质量评分及并发生发生率。结果干预前,两组患者的生活质量评分对比无显著差异(P>0.05);干预后,两组患者的生活质量评分明显升高,且经翼点入路组明显高于经额底入路组,差异显著(P<0.05)。经翼点入路组的并发症发生率为6.25%,经额底入路组的并发症发生率为30.30%,经额底入路组的并发症发生率明显高于经翼点入路组,差异显著(P<0.05)。结论与经额底入路相比,经翼点入路手术可提高颅脑鞍区肿瘤患者的生活质量,降低并发症发生率。

Objective To investigate the quality of life and safety of transfrontal approach and transpterional approach for sellar region tumors.Methods 65 patients with sellar region tumors admitted to the Second People's Hospital of Nanyang from June 2017 to June 2019 were analyzed retrospectively,sixty-five patients were divided into two groups:transfrontal approach group(33 cases)and transpterional approach group(32 cases).The transfrontal approach was used in the transfrontalis approach group and the pterional approach was used in the pterional approach group,the quality of life scores and the incidence of complications were compared between the two groups before and after the intervention.Results Before intervention,there was no significant difference in the quality of life scores between the two groups(P>0.05),and after intervention,the quality of life scores of the two groups were significantly higher than those of the transfrontal approach group(P<0.05).The complication rate of the transpterional approach group was 6.25%,and that of the transpterional approach group was 30.30%.The complication rate of the transpterional approach group was significantly higher than that of the transpterional approach group(P<0.05).Conclusion Compared with transfrontal approach,pterional approach can improve the quality of life of patients with sellar tumors and reduce the incidence of complications.