中国医药
中國醫藥
중국의약
CHINA MEDICINE
2014年
10期
1468-1470
,共3页
张开治%方哲%高键%赵兴利
張開治%方哲%高鍵%趙興利
장개치%방철%고건%조흥리
颅内蛛网膜囊肿%外科治疗%手术方法
顱內蛛網膜囊腫%外科治療%手術方法
로내주망막낭종%외과치료%수술방법
Intracranial arachnoid cyst%Surgical treatment%Surgical method
目的 比较开颅手术与分流手术治疗颅内蛛网膜囊肿的临床效果.方法 对吉林大学中日联谊医院2000年1月至2013年6月收治的72例行手术治疗的颅内蛛网膜囊肿患者的临床资料进行回顾性分析.根据手术方式将患者分为开颅组(脑蛛网膜囊肿切除术20例)和分流组(脑囊肿-腹腔分流术52例).比较2组患者手术时间、术中出血量、住院时间、治疗费用、术后临床症状改善情况、术后并发症情况及术后囊肿复发情况.结果 与开颅组比较,分流组手术时间短[(2.20 ±0.05) min比(2.90±0.29) min]、术中出血量少[(104 ±4)ml比(158±14) ml],差异均有统计学意义(均P＜0.05),而住院时间、术后临床症状改善情况、术后并发症发生情况及术后囊肿复发情况比较,差异均无统计学意义[(8.40±0.18)d比(8.50 ±0.27) d,88.5％ (46/52)比90.0％ (18/20),15.4％ (8/52)比20.0％ (4/20),11.5％ (6/52)比10.0％ (2/20)](均P＞0.05).结论 开颅手术与分流手术对于颅内蛛网膜的治疗各有其优缺点.颅内蛛网膜囊肿手术方式的选择应根据囊肿的部位、疾病的特殊性、术者手术操作的熟练程度等因素综合考虑.
目的 比較開顱手術與分流手術治療顱內蛛網膜囊腫的臨床效果.方法 對吉林大學中日聯誼醫院2000年1月至2013年6月收治的72例行手術治療的顱內蛛網膜囊腫患者的臨床資料進行迴顧性分析.根據手術方式將患者分為開顱組(腦蛛網膜囊腫切除術20例)和分流組(腦囊腫-腹腔分流術52例).比較2組患者手術時間、術中齣血量、住院時間、治療費用、術後臨床癥狀改善情況、術後併髮癥情況及術後囊腫複髮情況.結果 與開顱組比較,分流組手術時間短[(2.20 ±0.05) min比(2.90±0.29) min]、術中齣血量少[(104 ±4)ml比(158±14) ml],差異均有統計學意義(均P＜0.05),而住院時間、術後臨床癥狀改善情況、術後併髮癥髮生情況及術後囊腫複髮情況比較,差異均無統計學意義[(8.40±0.18)d比(8.50 ±0.27) d,88.5％ (46/52)比90.0％ (18/20),15.4％ (8/52)比20.0％ (4/20),11.5％ (6/52)比10.0％ (2/20)](均P＞0.05).結論 開顱手術與分流手術對于顱內蛛網膜的治療各有其優缺點.顱內蛛網膜囊腫手術方式的選擇應根據囊腫的部位、疾病的特殊性、術者手術操作的熟練程度等因素綜閤攷慮.
목적 비교개로수술여분류수술치료로내주망막낭종적림상효과.방법 대길림대학중일련의의원2000년1월지2013년6월수치적72례행수술치료적로내주망막낭종환자적림상자료진행회고성분석.근거수술방식장환자분위개로조(뇌주망막낭종절제술20례)화분류조(뇌낭종-복강분류술52례).비교2조환자수술시간、술중출혈량、주원시간、치료비용、술후림상증상개선정황、술후병발증정황급술후낭종복발정황.결과 여개로조비교,분류조수술시간단[(2.20 ±0.05) min비(2.90±0.29) min]、술중출혈량소[(104 ±4)ml비(158±14) ml],차이균유통계학의의(균P＜0.05),이주원시간、술후림상증상개선정황、술후병발증발생정황급술후낭종복발정황비교,차이균무통계학의의[(8.40±0.18)d비(8.50 ±0.27) d,88.5％ (46/52)비90.0％ (18/20),15.4％ (8/52)비20.0％ (4/20),11.5％ (6/52)비10.0％ (2/20)](균P＞0.05).결론 개로수술여분류수술대우로내주망막적치료각유기우결점.로내주망막낭종수술방식적선택응근거낭종적부위、질병적특수성、술자수술조작적숙련정도등인소종합고필.
Objective To compare the clinical efficacy between craniotomy and shunt surgery in the surgical treatment of intracranial arachoid cyst(IAC).Methods Totally 72 cases with IAC were collected from January 2000 to June 2013.The clinical data was analyzed retrospectively.According to the different methods of operation,patients were divided into craniotomy group (20 cases,resection of brain arachnoid cysts) and shunt group (52 cases,cyst peritoneal shunt).Operation time,intraoperative blood loss,hospitalization expenses,hospital stay,postoperative clinical symptoms improvement,complications and cyst recurrence were compared between craniotomy group and shunt group.Results Compared with craniotomy group,shunt group had shorter operation time[(2.20 ± 0.05)min vs (2.90 ± 0.29)min],less intraoperative blood loss [(104 ± 4)ml vs (158 ± 14)ml] ;the difference was significant (P ＜ 0.05).No significant difference was noted in hospital stay,postoperative clinical symptoms improvement,complications and cyst recurrence [(8.40 ± 0.18)d vs (8.50 ± 0.27)d,88.5％ (46/52) vs 90.0％ (18/20),15.4％ (8/52) vs 20.0％ (4/20),11.5 ％ (6/52) vs 10.0％ (2/20)] (all P ＞ 0.05).Conclusion The operation method should be selected comprehensively according to the location of cyst,the particularity of disease and the experience of the surgeon.
