摘要
目的观察显微外科手术治疗功能区矢状窦镰旁脑膜瘤的临床疗效。方法选取矢状窦镰旁脑膜瘤患者107例，给予显微外科手术治疗，设为观察组；选取该院2004年1月以前应用常规手术治疗的矢状窦镰旁脑膜瘤患者50例，设为对照组。分析比较两组临床有效率和手术相关情况。结果观察组临床有效率为96．2％（103／107），对照组为86．0％（43150），观察组疗效明显优于对照组（X^2=4．013，P〈0．05）；肿瘤全切除率观察组为90．6％（97／107），明显高于对照组的78．0％（39／50）（X^2=4．709，P〈0．05）；术中输血量观察组明显少于对照组[（489．2±13．4）mL与（893．0±21．3）mL，t=144．468，P〈0．01]；观察组平均手术时间明显多于对照组[（70．6±18．2）min与（45．3±11．7）min，t=8．991，P〈0．01]；两组平均住院时间差异无统计学意义（t=0，973，P〉0．05）。结论显微外科手术治疗矢状窦镰旁脑膜瘤能明显提高患者的临床有效率和肿瘤全切除率，减少术中出血量，降低术后病残率。
Objective To investigate the clinical efficacy of microsurgery in the treatment of functional areas of the sagittal sinus falx meningioma. Methods 107 cases with parasagittal meningioma who received microsurgery treatment were selected as the observation group. Before January 2004,50 patients with parasagittal meningioma who received conventional surgical treatment were selected as control group. The clinical efficacy and surgical condition were analyzed and compared. Results The effective rate of the observation group was 96.2% （103/107） ,which was significantly higher than 86.0% （43/50） of the control group （X2 = 4.013, P 〈 0.05 ）. The tumor removal rate of the observation group was 90.6% （97/107）, which was significantly higher than 78.0% （39/50） of the control group （X2 =.4. 709 ,P 〈 0.05 ）. While the blood transfusion of the observation group was significantly less than the control group [ （489.2 ± 13.4） mL vs （ 893.0 ± 21.3 ） mL, t = 144.468, P 〈 0.01 ]. The mean operation time of the observation group was significantly longer than the control group [ （70.6± 18.2 ） min vs （45.3 ± 11.7 ） min, t = 8. 991, P 〈 0.01 ]. The average length of hospital stay had no significant difference between the two groups （ t = 0. 973, P 〉 0. 05）. Conclusion Microsurgery in the treatment of superior sagittal sinus falx meningioma can significantly improve the rate of total resection of the tumor, reduce blood loss, decrease postoperative morbidity.
出处
《中国基层医药》
CAS
2014年第3期329-331,共3页
Chinese Journal of Primary Medicine and Pharmacy
