CAJ | 학술논문

目的：探究内侧型蝶骨嵴脑膜瘤的显微手术治疗效果，为临床显微手术治疗内侧型蝶骨嵴脑膜瘤提供参考。方法：收集本院2008-2013年收治的30例内侧型蝶骨嵴脑膜瘤患者的临床资料，观察患者的临床治疗效果，并对患者术前、术后生活质量进行评价和对比，生活质量评分包括生活能力、日常生活、健康感受、生活感受及家庭支持几个方面。结果：经手术治疗，18例患者痊愈，10例好转，2例无效，总有效率达93.33%。患者术前生活质量总评分为（61.16±4.69）分，术后为（93.33±3.97）分，患者术后的生活质量评价总评分以及各分项得分均明显高于术前，差异有统计学意义（P<0.05）。结论：采用显微手术治疗内侧型蝶骨嵴脑膜瘤，可明显提高患者生活质量，手术总有效率高，疗效显著，值得临床推广使用。
목적：탐구내측형접골척뇌막류적현미수술치료효과，위림상현미수술치료내측형접골척뇌막류제공삼고。방법：수집본원2008-2013년수치적30례내측형접골척뇌막류환자적림상자료，관찰환자적림상치료효과，병대환자술전、술후생활질량진행평개화대비，생활질량평분포괄생활능력、일상생활、건강감수、생활감수급가정지지궤개방면。결과：경수술치료，18례환자전유，10례호전，2례무효，총유효솔체93.33%。환자술전생활질량총평분위（61.16±4.69）분，술후위（93.33±3.97）분，환자술후적생활질량평개총평분이급각분항득분균명현고우술전，차이유통계학의의（P<0.05）。결론：채용현미수술치료내측형접골척뇌막류，가명현제고환자생활질량，수술총유효솔고，료효현저，치득림상추엄사용。
Objective:To investigate the effect of microsurgical treatment of medial sphenoid ridge meningioma, to offer reference of microsurgical treatment for clinical medial sphenoid ridge meningioma.Method:The clinical data 30 cases of medial sphenoid ridge meningioma in our hospital from 2008 to 2013 were collected.Clinical effect and preoperative and postoperative life quality were observed and evaluated.Life quality scores included life skills,daily life, health experience,life experience and family support aspects.Result:After surgery,18 cases were cured,10 cases improved,2 cases ineffective,the total effective rate was 93.33%.Preoperative life quality total score was(61.16±4.69) points,and postoperative quality of life total score was(93.33±3.97)points.The postoperative life quality total score and sub-scores were significantly higher than the preoperative ,and the difference was statistically significant(P<0.05). Conclusion:The microsurgical treatment of medial sphenoid ridge meningioma,can significantly improve the quality of life of patients and surgical total effective rate,the effect is significant,worthy of clinical use.