中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2014年
18期
41-43
,共3页
全麻%神经内镜%鼻蝶入路%垂体瘤%临床效果
全痳%神經內鏡%鼻蝶入路%垂體瘤%臨床效果
전마%신경내경%비접입로%수체류%림상효과
General anesthesia%Nerve endoscopy%Butterfly nose into the road%Pituitary adenoma%Clinical effect
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)min,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。
目的：觀察全痳下神經內鏡引導經鼻蝶入路切除術治療垂體瘤的臨床效果.方法選擇2009年1月~2011年1月在遼寧省腫瘤醫院確診為垂體瘤患者90例為研究對象,隨機分為對照組及觀察組,每組各45例.對照組患者採用經顱手術治療,觀察組患者採用全痳下神經內鏡引導經鼻蝶入路切除術治療.觀察記錄兩組齣血量以及齣血時長,對比兩組患者的臨床治療效果.結果觀察組療效為優者佔88.89%(40/45),優良率為93.33%(42/45),均顯著高于對照組的66.67%(30/45)及82.23%(37/45),差異均有統計學意義(P<0.05).觀察組齣血量為(89.52±20.15)mL,齣血時長為(89.61±36.25)min,均顯著少于對照組的(158.57±22.18)mL,(135.54±42.83)min,差異均有統計學意義(P<0.05).結論全痳下神經內鏡引導經鼻蝶入路切除術治療垂體瘤治療效果較好,手術操作簡單,創傷小,該治療方案值得在臨床上廣汎推廣應用。
목적：관찰전마하신경내경인도경비접입로절제술치료수체류적림상효과.방법선택2009년1월~2011년1월재요녕성종류의원학진위수체류환자90례위연구대상,수궤분위대조조급관찰조,매조각45례.대조조환자채용경로수술치료,관찰조환자채용전마하신경내경인도경비접입로절제술치료.관찰기록량조출혈량이급출혈시장,대비량조환자적림상치료효과.결과관찰조료효위우자점88.89%(40/45),우량솔위93.33%(42/45),균현저고우대조조적66.67%(30/45)급82.23%(37/45),차이균유통계학의의(P<0.05).관찰조출혈량위(89.52±20.15)mL,출혈시장위(89.61±36.25)min,균현저소우대조조적(158.57±22.18)mL,(135.54±42.83)min,차이균유통계학의의(P<0.05).결론전마하신경내경인도경비접입로절제술치료수체류치료효과교호,수술조작간단,창상소,해치료방안치득재림상상엄범추엄응용。
Objective To observe the clinical effect observation of neural endoscopic guidance under general anesthesia by nasal adjustment approach in the treatment of pituitary adenoma resection. Methods From January 2009 to January 2011 in Liaoning Cancer Hospital & Institute, 90 cases of pituitary adenoma were selected and randomly divided into control group and observation group with 45 cases in each group. The patients in control group were treated with tran-scranial surgery, patients in observation group were treated with general anesthesia under neural endoscopic resection treatment guided by nasal butterfly into the road. The intraoperative bleeding, length of bleeding in the two groups were observed and recorded. The clinical therapeutic effect of the two groups was compared. Results The excellent grade rate of observation group was 88.89% (40/45), the excellent and good grade rate in observation group was 93.33%(42/45), they were all higher than those in control group [66.67%(30/45) and 82.23%(37/45)], the differences were statisti-cally significant (P<0.05). The bleeding amount in observation group were (89.52±20.15) mL, the length of bleeding in observation group were (89.61±36.25) min, they were all lower than those in ontrol group [(158.57±22.18) mL and (135.54±42.83) min], the differences were statistically significant (P<0.05). Conclusion The treatment effect of nerve endoscopy guided under general anesthesia by nasal butterfly into the road in pituitary adenoma resection is good, the operation is simple, has small trauma, it is worthy of widely applying in clinical treatment.
