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时间:2020-05-02
《全麻下神经内镜引导经鼻蝶煳除术治疗垂体瘤的临床效果观察.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、中国医药导报2014年6月第l1卷第18期·临床研究·全麻下神经内镜引导经鼻蝶除术治疗垂体瘤的临床效果观察张烨朴浩哲姚冰辽宁省肿瘤医院神经外科,辽宁沈阳l10042[摘要1目的观察全麻下神经内镜引导经鼻蝶入路切除术治疗垂体瘤的临床效果。方法选择2009年1月~2011年1月在辽宁省肿瘤医院确诊为垂体瘤患者90例为研究对象,随机分为对照组及观察组,每组各45例。对照组患者采用经颅手术治疗,观察组患者采用全麻下神经内镜引导经鼻蝶入路切除术治疗。观察记录两组出血量以及出血时长,对比两组患者的临床治疗效果。结果观察组疗效为优者占
2、88.89%(40/45),优良率为93.33%(42/45),均显著高于对照组的66.67%(30/45)及82.23%(37/45),差异均有统计学意义(P<0.05)。观察组出血量为(89,52~20.15)mL,出血时长为(89.61~36.25)min,均显著少于对照组的(158.57~22.18)mL,(135.54~42.83)rain,差异均有统计学意义(P<0.05)。结论全麻下神经内镜引导经鼻蝶入路切除术治疗垂体瘤治疗效果较好,手术操作简单,创伤小.该治疗方案值得在临床上广泛推广应用。【关键词】全麻;
3、神经内镜;鼻蝶入路;垂体瘤;临床效果【中图分类号】R739.4【文献标识码】A【文章编号】1673—7210(2014)O6(c)一0041—03Clinicalefectobservationofneuralendoscopicguidanceundergeneralanesthesiabynasaladjustmentapproachintreatmentofpituitaryadeno-maresectionZHANGYePIA0Haozhe‘YA0BingDepa~mentofNeurosurgery,Liaon
4、ingCancerHospital&Institute,LiaoningProvince,Shenyang110042,China【Abstract】0bJectiveToobservetheclinicaleffectobservationofneuralendoscopicguidanceundergeneralanesthesiabynasaladjustmentapproachinthetreatmentofpituitaryadenomaresection.MethodsFromJanuary2009toJan
5、uary2011inLiaoningCancerHospital&Institute.90casesofpituitaryadenomawereselectedandrandomlydividedintocontrolgroupandobservationgroupwith45casesineachgroup.Thepatientsincontrolgroupweretreatedwithtran—scranialsurgery,patientsinobservationgroupweretreatedwithgener
6、alanesthesiaunderneuralendoscopicresectiontreatmentguidedbynasalbutterflyintotheroad.Theintraoperativebleeding,lengthofbleedinginthetwogroupswereobservedandrecorded.Theclinicaltherapeuticeffectofthetwogroupswascompared.ResultsTheexcellentgraderateofobservationgro
7、upwas88.89%(40/45),theexcellentandgoodgraderateinobservationgroupwas93.33%(42/45),theywereallhigherthanthoseincontrolgroup[66.67%(30/45)and82.23%(37/45)],thedifferenceswerestatisti—callysignificant(P<0.05).Thebleedingamountinobservationgroupwere(89.52~20.15)mL,th
8、elengthofbleedinginobservationgroupwere(89.61~36.25)min,theywerealllowerthanthoseinontrolgroup【(158.57~22.18)mLand(135.54~42.83)min],thedifferenceswerestatisti
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