CAJ | 학술논문

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年随访细胞瘤瘤体大小及复发率。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颅手术组（P＜0.01）；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，显微镜下手术组患者细胞瘤瘤体直径为（0.22±0.01）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。
목적：탐토응용현미경하수술절제소뇌혈관망직세포류적림상료효。방법대58례응용수술절제치료적소뇌혈관망직세포류환자적림상자료진행회고성분석，근거수술방법불동，장환자분위현미경하수술조화전통개로수술조，대비분석량조환자접수수술치료후적림상료효、술후병발증발생솔、술후1년수방세포류류체대소급복발솔。결과술후현미경하수술조환자병발증발생솔현저저우전통개로수술조（P＜0.01）；술후1년수방중전통개로수술조환자세포류류체직경위（0.25±0.04）cm，현미경하수술조환자세포류류체직경위（0.22±0.01）cm，량조비교차이유현저성（P＜0.01）。술후1년현미경하수술조환자복발솔현저저우전통개로수술조（P＜0.05）。결론응용현미경하수술치료소뇌혈관망직세포류림상료효우우전통개로술，술후병발증발생솔급술후복발솔교저，치득재림상진일보추엄。
Objective To evaluate the clinical efficacy of microscope surgical resection for cerebellar vascular reticulocyte tumor. Method 58 cases of cerebellar vascular reticulocyte cell tumor under surgical resection were retrospectively analyzed, depending on the surgical method; all the patients were divided into microscope group and traditional craniotomy resection group. We compared the clinical results after the surgery, the incidence of postoperative complications. We also compared the postoperative 1 year tumor diameter and recurrence rate case after 1 year of two groups. Result The complication rate under the microscope resection group was signiifcantly lower than that of the traditional craniotomy group (P<0.01). The postoperative 1 year tumor diameter of the microscope resection group was (0.25±0.04) cm, while that of the traditional craniotomy group was (0.22±0.01) cm (P < 0.01). The resection recurrence rate under the microscope after 1 year was signiifcantly lower than that of the traditional craniotomy group (P<0.05). Conclusion The clinical efficacy of microscope surgical resection for cerebellar vascular reticulocyte tumor is of no significant difference compared with traditional craniotomy, but with a lower incidence of postoperative complications and recurrence rate, which is worthy of further extensive applications.