显微手术和非显微手术治疗内侧型蝶骨嵴脑膜瘤临床疗效对比观察.pdf

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1、·38·中国实用神经疾病杂志2014年5月第17卷第1o期ChineseJournalofPracticalNervousDiseasesMay．2014，Vo1．17No．10显微手术和非显微手术治疗内侧型蝶骨嵴脑膜瘤临床疗效对比观察邱平阙双林祁小龙福建省龙岩市第一医院龙岩364000【摘要】目的探讨显微手术和非显微手术治疗内侧型蝶骨嵴脑膜瘤的临床疗效差异。方法选取我院收治的42例内侧型蝶骨嵴脑膜瘤患者，随机均分为对照组(非显微手术治疗)和观察组(显微手术治疗)，比较2组患者的Simpson分级、致残率、治愈

2、率和并发症发生率的差异。结果观察组Simpson分级显著优于对照组(P

3、038—02Comparativeobservationonclinicalefficacyofmicrosurgicalandnon—-microsurgicaltreatmentformedialsphe--noidridgemeningiomaQiuPing，QueShuanglin，QiXiaolongTheFirstAffiliatedHospitalofFujianMedicalUniversity，Longyan364000，China[Abstract]0bjectiveToinvestigat

4、edifferencesinclinicalefficacyofmicrosurgicalandnon—microsurgicaltreatmentformedialsphenoidridgemeningioma．MethodsFortytwocasesofmedialsphenoidridgemeningiomainourhospitalwereran—domlydividedintocontrolgroup(receivednon—microsurgicaltreatment)andobservationg

5、roup(receivedmicrosurgicaltreatment)．TheSimpsongrading，disabilityrate，curerateandcomplicationrateoftwogroupswerecompared．ResultsTheSimpsongradingofobservationgroupwassignificantlybetterthanthatofcontro1group(P~0．05)．Therewasnoonecaseofseveredisabilityanddeat

6、hinobservationgroup．Incontrolgroup，therewere6cases(28．6)ofseveredisabilityand7cases(33．3)ofdeath，thedifferencewasstatisticallysignificant(P<0．05)．Theincidenceofcomplicationinobservationgroupwassignificantlylowerthanthatincontrolgroup(P<0．05)．ConclusionMicros

7、urgiealtreatmentformedialsphenoidridgemeningiomaiseffective．Itcansignificantlyincreasetotalresectionrateoftumorandsurgicalefficacy，andreducemorbidity。mortalityandtheincidenceofcomplications．[Keywords]Microsurgery；Nonmicrosurgery；Medial；Sphenoidridgemeningiom

8、a内侧型蝶骨嵴脑膜瘤起源于前床突及蝶骨小翼内侧，接例，面部麻木1例，不完全运动性失语1例，肢体轻瘫4例；近颅底中线，部位深在，毗邻重要的神经、血管结构，可侵及侵犯部位：侵犯中颅窝底8例，压迫视神经6例，侵犯海绵窦视神经、前循环动脉甚至海绵窦。手术治疗难度较大，全切率5例，侵犯眶内6例，侵犯岩骨2例。2组患者在基本资料、低，具有高致残率、高病死率和高复发率口]。本研究以我院肿瘤大小、侵犯