中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
20期
73-74,77
,共3页
脑肿瘤%立体定向%微创手术%临床分析
腦腫瘤%立體定嚮%微創手術%臨床分析
뇌종류%입체정향%미창수술%림상분석
Brain tumor%Stereotactic%Minimally invasive surgery%Clinical analysis
目的：探讨立体定向靶向微创手术应用于脑肿瘤治疗的临床效果。方法选择于2008年3月-2013年1月在该院接受治疗的脑肿瘤患者66例，随机分成对照组和观察组各33例，对照组通过开颅手术治疗，观察组则通过脑肿瘤立体定向靶向微创手术治疗，对比两组患者的存活率和术后复发率，同时观察两组患者治疗前后生活自理能力和神经功能的改善情况。结果观察组患者的存活率为87.9%，显著高于对照组的69.7%，观察组患者术后的复发率为15.2%，显著低于对照组的36.4%，比较差异有统计学意义（P<0.05）；两组患者的ADL评分提高、CCS评分降低，但是观察组的变化幅度更大，比较差异有统计学意义（P<0.05）。结论立体定向靶向微创手术在脑肿瘤的治疗中具有较高的应用价值，能够显著降低死亡率和复发率，促进术后患者的康复预后。
目的：探討立體定嚮靶嚮微創手術應用于腦腫瘤治療的臨床效果。方法選擇于2008年3月-2013年1月在該院接受治療的腦腫瘤患者66例，隨機分成對照組和觀察組各33例，對照組通過開顱手術治療，觀察組則通過腦腫瘤立體定嚮靶嚮微創手術治療，對比兩組患者的存活率和術後複髮率，同時觀察兩組患者治療前後生活自理能力和神經功能的改善情況。結果觀察組患者的存活率為87.9%，顯著高于對照組的69.7%，觀察組患者術後的複髮率為15.2%，顯著低于對照組的36.4%，比較差異有統計學意義（P<0.05）；兩組患者的ADL評分提高、CCS評分降低，但是觀察組的變化幅度更大，比較差異有統計學意義（P<0.05）。結論立體定嚮靶嚮微創手術在腦腫瘤的治療中具有較高的應用價值，能夠顯著降低死亡率和複髮率，促進術後患者的康複預後。
목적：탐토입체정향파향미창수술응용우뇌종류치료적림상효과。방법선택우2008년3월-2013년1월재해원접수치료적뇌종류환자66례，수궤분성대조조화관찰조각33례，대조조통과개로수술치료，관찰조칙통과뇌종류입체정향파향미창수술치료，대비량조환자적존활솔화술후복발솔，동시관찰량조환자치료전후생활자리능력화신경공능적개선정황。결과관찰조환자적존활솔위87.9%，현저고우대조조적69.7%，관찰조환자술후적복발솔위15.2%，현저저우대조조적36.4%，비교차이유통계학의의（P<0.05）；량조환자적ADL평분제고、CCS평분강저，단시관찰조적변화폭도경대，비교차이유통계학의의（P<0.05）。결론입체정향파향미창수술재뇌종류적치료중구유교고적응용개치，능구현저강저사망솔화복발솔，촉진술후환자적강복예후。
Objective To observe the clinical effect of stereotactic targeting minimally invasive surgery for the treatment of brain tumors. Methods 66 patients with brain tumor admitted in our hospital from March, 2008 to January, 2013 were selected and ran-domly divided into the control group and the observation group with 33 cases in each. The control group were treated by cranioto-my, and the observation group were treated by stereotactic targeting minimally invasive surgery. The survival rate and recurrence rate of two groups of patients were compared, and the self-care ability and improvement of neurological function before and after treatment of both groups of patients were observed. Results The survival rate of the observation group's patients was 87.9%, signif-icantly higher than the control group's 69.7%, the recurrence rate of patients in the observation group was 15.2%, significantly low-er than the control group's 36.4%, the differences were significant (P<0.05); both groups of patients with ADL score increase, de-crease in CCS score, but the variation of the observation group was more bigger, the difference was significant (P<0.05). Conclu-sion Stereotactic targeting minimally invasive surgery has a high value in the treatment of brain tumors, which can significantly re-duce the mortality and recurrence rate, and promote the postoperative rehabilitation and prognosis of the patients.
