神经内镜辅助显微手术治疗囊性脑肿瘤的疗效分析

摘要

目的 探讨神经内镜辅助显微手术治疗囊性脑肿瘤的治疗效果.方法 选择2013年1月至2016年5月接受治疗的106例囊性肿瘤患者作为研究对象,将其随机分为对照组与试验组,每组53例.其中对照组患者接受显微镜下肿瘤切除手术,试验组患者接受神经内镜辅助显微手术.观察两组患者手术切除情况,术后格拉斯哥评分、并发症发生情况、复发率和病死率等.结果 试验组患者肿瘤全切率高于对照组,差异有统计学意义(88.7% vs 66.0%,P<0.05);两组患者神经功能损害、肿瘤复发、病死率比较差异无统计学意义(P>0.05);试验组患者格拉斯哥评分低于对照组,差异有统计学意义(P<0.05).结论 神经内镜辅助显微手术治疗囊性脑肿瘤能够弥补单纯显微镜手术和神经内镜手术的不足,提高手术治疗效果,值得临床推广应用.%Objective To analyze the therapeutic effect of neuroendoscopy-assisted microsurgery in the treatment of cystic brain tumors.Methods 106 cases with cystic tumors treated from January of 2013 to May of 2016 were selected as the research objects and divided randomly into the control group and observation group,and each group included 53 cases.The control group was treated with the tumor resection under microscope,while the observation group received the neuroendoscopy-assisted microsurgery.The two groups were observed to detect the status of surgical resection,postoperative Glasgow score,complications,recurrence rate and mortality rate.Results The rate of total tumor resection in the observation group was significantly lower than that in the control group (88.7% vs 66.0%,P< 0.05).There were no significant differences between the two groups in the functional impairment of nerve function,tumor recurrence and mortality(P>0.05).The Glasgow score of the observation group was significantly lower than that of the control group(P<0.05).Conclusion The neuroendoscope-assisted microsurgery can make up the shortcomings of two kinds of minimally invasive surgery,improve the therapeutic effect,and reduce the rate of recurrence and mortality,so it is worthy of clinical application.