显微镜下手术切除小脑血管网织细胞瘤的临床疗效分析.pdf

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1、5O·临床研究·《中国医学前沿杂志(电子版)》2014年第6卷第6期显微镜下手术切除小脑血管网织细胞瘤的临床疗效分析汤华，李刚，陈少军，周建，管玉华(三峡大学人民医院神经外科，湖北宜昌443000)【摘要】目的探讨应用显微镜下手术切除小脑血管网织细胞瘤的临床疗效。方法对58例应用手术切除治疗的小脑血管网织细胞瘤患者的临床资料进行回顾性分析，根据手术方法不同，将患者分为显微镜下手术组和传统开颅手术组，对比分析两组患者接受手术治疗后的临床疗效、术后并发症发生率、术后1年随访细胞瘤瘤体人小及复发率。结果术后显微镜下手术组患者并发症发生率显著低于传统开

2、颅手术组(P<0．0I)；术后1年随访中传统开颅手术组患者细胞瘤瘤体直径为(0．25±0．04)cm，显微镜F手术组患者细胞瘤瘤体直径为(0．22±0．叭)cm，两组比较差异有显著性(P<0．01)。术后1年显微镜下手术组患者复发率显著低于传统开颅手术组(P<0．05)。结论应用显微镜下手术治疗小脑血管网织细胞瘤临床疗效优于传统开颅术，术后并发症发生率及术后复发率较低，值得在临床进一步推广。【关键词】显微镜：手术切除；小脑血管网织细胞瘤Clinicalanalysisofmicroscopesurgicalresectionforcerebel

3、larvascularreticulocytetumorTANGHua，LIGang，CHENShao-jun，ZHOUJian，GUANYlu—hua(DepartmentofNeurosurgery,ChinaThreeGorgesUniversityPeople’SHospital，Hubei，Yichang443000，China)Correspondingauthor：TANGHaft，E．mail：angual031(aliyun．com【Abstract10bjectiveToevaluatetheclinicaleficacyo

4、fmicroscopesurgicalresectionforcerebellarvascularreticulocytetumor．Method58casesofcerebellarvascularreticulocytecel1tumorundersurgicalresectionwereretrosDectivelvanalyzed，dependingonthesurgicalmethod；allthepatientsweredividedintomicroscopegroupandtraditiona1craniotomyresecti

5、ongroup．Wecomparedtheclinicalresultsafterthesurgery,theincidenceofpostoperativecomplications．Wealsocomparedthepostoperative1yeartumordiameterandrecurrenceratecaseafter1yearoftwogroups．ResultThecomplicationrateunderthemicroscoperesectiongroupwassignificantlylowerthanthatofthe

6、traditionalcraniotomygrouprP<0．01)．Thepostoperative1yeartumordiameterofthemicroscoperesectiongroupwasf0．25±0．04)cm，whilethatofthetraditionalcraniotomygroupwas(O．22±0．01)cm<0．o1)．Theresectionrecurrencerateunderthemicroscopeafter1yearwassignificantlylowerthanthat0fthetTadition

7、alcraniotomygroupfP<0．05)ConclusionTheclinicalemcacy0fmicroscopesurgica1resectionforcerebellarvascularreticulocytetumoriSofnosignificantdifferencecomparedwithtraditionalcraniotomy,butwithalowerincidenceofpostoperativecomplicationsandrecurencerate．whichiSworthyoffurtherextens

8、iveapplications．【Keywords1Microscope；Surgicalresection；Cerebellarvascularre