显微外科手术不同入路方式治疗颅脑肿瘤的临床效果

The Clinical Effect of Different Approaches of Microsurgery in the Treatment of Craniocerebral Tumors

目的分析显微外科手术不同入路方式治疗颅脑肿瘤的临床效果。方法随机选择该院2019年1月—2020年1月颅脑肿瘤患者100例,数字表随机分两组,每组50例,对照组患者给予额底入路显微外科手术治疗,观察组采取翼点入路显微外科手术。比较两组住院时间、治疗前后患者生活质量量表评分、术后并发症发生率。结果观察组住院时间(8.21±1.67)d短于对照组(11.56±2.21)d,差异有统计学意义(t=8.552,P<0.05)。治疗前两组患者生活质量量表评分比较,差异无统计学意义(P>0.05),而治疗后两组生活质量量表评分均改善,而观察组生活质量量表评分显著高于对照组,差异有统计学意义(P<0.05)。观察组术后并发症发生率(6.00%)低于对照组(20.00%),差异有统计学意义(χ^(2)=4.332,P<0.05)。结论翼点入路显微外科手术对于颅脑肿瘤的治疗效果优于额底入路显微外科手术治疗,可更好地减少并发症的发生,促进患者术后生活质量的改善。

Objective To analyze the clinical effects of different approaches of microsurgery for the treatment of brain tumors.Methods A total of 100 patients with craniocerebral tumors from January 2019 to January 2020 in the hospital were randomly selected.The digital table was randomly divided into two groups of 50 cases.Patients in the control group were treated with microsurgery through the frontal approach,and the observation group took the pterional approach for microsurgery.The length of hospital stay,the scores of the patients'quality of life scale before and after treatment,and the incidence of postoperative complications were compared between the two groups.Results The length of stay in the observation group was(8.21±1.67)d shorter than that of the control group(11.56±2.21)d,the difference was statistically significant(t=8.552,P<0.05).Before treatment,the quality of life scale scores of the two groups were compared,the difference was not statistically significant(P>0.05),while the quality of life scale scores of the two groups improved after treatment,the quality of life scale scores of the observation group were significantly higher than those of the control group,the difference was statistically significant(P<0.05).The postoperative complication rate of the observation group(6.00%)was lower than that of the control group 20.00%,the difference was statistically significant(χ^(2)=4.332,P<0.05).Conclusion The pterional approach microsurgery is better than the frontal approach microsurgery for the treatment of brain tumors,which can better reduce the occurrence of complications and promote the improvement of the quality of life of patients after surgery.