CAJ | 학술논문

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＜0.05）；观察组患者无1例重残和死亡，对照组重残6例（28.6％），死亡7例（33.3％），2组比较差异有统计学意义（ P＜0.05）；观察组并发症发生率显著低于对照组（ P＜0.05）。结论显微手术治疗内侧型蝶骨嵴脑膜瘤疗效确切，可显著提高肿瘤全切率和手术疗效，降低致残率和病死率，减少并发症的发生。
목적：탐토현미수술화비현미수술치료내측형접골척뇌막류적림상료효차이。방법선취아원수치적42례내측형접골척뇌막류환자，수궤균분위대조조（비현미수술치료）화관찰조（현미수술치료），비교2조환자적Simpson분급、치잔솔、치유솔화병발증발생솔적차이。결과관찰조Simpson분급현저우우대조조（P＜0.05）；관찰조환자무1례중잔화사망，대조조중잔6례（28.6％），사망7례（33.3％），2조비교차이유통계학의의（ P＜0.05）；관찰조병발증발생솔현저저우대조조（ P＜0.05）。결론현미수술치료내측형접골척뇌막류료효학절，가현저제고종류전절솔화수술료효，강저치잔솔화병사솔，감소병발증적발생。
Objective To investigate differences in clinical efficacy of microsurgical and non-microsurgical treatment for medial sphenoid ridge meningioma.Methods Forty-two cases of medial sphenoid ridge meningioma in our hospital were ran-domly divided into control group (received non-microsurgical treatment ) and observation group (received microsurgical treat-ment).The Simpson grading ,disability rate ,cure rate and complication rate of two groups were compared.Results The Simp-son grading of observation group was significantly better than that of control group (P<0.05). There was no one case of severe disability and death in observation group. In control group , there were 6 cases (28.6% ) of severe disability and 7 cases (33.3% ) of death ,the difference was statistically significant (P< 0.05).The incidence of complication in observation group was significantly lower than that in control group(P<0.05). Conclusion Microsurgical treatment for medial sphenoid ridge meningioma is effective. It can significantly increase total resection rate of tumor and surgical efficacy ,and reduce morbidity , mortality and the incidence of complications.