Feasibility analysis of microsurgery combined with neuroendoscopy in the treatment of cystic brain tumors
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摘要: 目的 探讨显微手术结合神经内镜治疗囊性脑肿瘤的临床疗效。 方法 将本院收治的78例囊性脑肿瘤患者按照随机数字表法分为2组,对照组39例予以显微手术治疗,研究组39例实施显微手术结合神经内镜治疗。2组患者术后均行磁共振(MR)及电子计算机断层扫描(CT)检查以查看肿瘤切除情况、有无脑缺血和神经功能障碍、复发及死亡情况; 记录2组患者手术时间以及住院时间; 评估2组患者术后4、8周时格拉斯哥预后量表(GOS)评分。 结果 研究组的脑肿瘤全切除率高于对照组(P<0.05), 2组复发及病死率比较无显著差异(P>0.05)。研究组的手术及住院时间短于对照组,术后GOS评分高于对照组,差异均有统计学意义(P<0.05)。术后无脑缺血和神经功能障碍患者。 结论 与显微手术单独治疗比较,显微手术结合神经内镜治疗囊性脑肿瘤可提高肿瘤全切除率,预后良好,临床价值较高。
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关键词:
- 囊性脑肿瘤 /
- 神经内镜 /
- 显微手术 /
- 格拉斯哥预后量表评分
Abstract: Objective To explore the clinical efficacy of microsurgery combined with neuroendoscopy in the treatment of cystic brain tumors. Methods A total of 78 patients with cystic brain tumor admitted to our hospital were divided into two groups according to the random number method. Thirty-nine patients in the control group were treated with microsurgery, and thirty-nine patients in the study group were treated with microsurgery combined with neuroendoscopy. Postoperative magnetic resonance(MR)and computed tomography(CT)examinations were performed in both groups to check the conditions of tumor resection, existence of cerebral ischemia and neurological dysfunction, as well as recurrence and death toll conditions. The duration of surgery and hospital stay were recorded in both groups. Glasgow Outcome Scale(GOS)scores in both groups were assessed at 4- and 8-week after surgery. Results The total resection rate of brain tumor in the study group was higher than that in the control group(P<0.05). There were no significant differences in recurrence and mortality rates between the two groups(P>0.05). Surgery time and hospital stay in the study group were shorter, and postoperative GOS score of the study group was higher than that of the control group(P<0.05). No patient with postoperative cerebral ischemia and neurological dysfunction was found. Conclusion Compared with microsurgery, microsurgery combined with neuroendoscopy for cystic brain tumors can improve the total tumor removal rate, and has better prognosis and higher clinical value.-
Keywords:
- cystic brain tumor /
- neuroendoscopy /
- microsurgery /
- Glasgow Outcome Scale Scores
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