CAJ | 학술논문

目的：比较和分析常规手术与显微神经外科手术治疗功能区矢状窦大脑镰旁脑膜瘤的临床疗效。方法选取功能区矢状窦镰旁脑膜瘤患者作为研究对象，2003年6月前收治的44例作为对照组采用常规手术治疗；2003年6月后收治的40例作为研究组采用显微外科手术治疗，比较两组的临床疗效。结果研究组肿瘤全切除率为84．1％，高于对照组的57．5％（χ2＝7．259）；研究组术中平均输血量为（389．2±210．3） ml，低于对照组的（1058．4＋386．2） ml；研究组平均手术时间为（75．6＋18．8）min，高于对照组的（50．4＋12．2）min；研究组症状改善42例（95．5％），高于对照组的31例（77．5％），两组在肿瘤全切除率、术中输血量、手术时间和术后症状改善率等方面比较差异有统计学意义（P＜0．05）。结论显微外科手术方法治疗功能区矢状窦镰旁脑膜瘤，可提高患者术后生存质量，临床疗效显著，值得在临床上进一步推广。
목적：비교화분석상규수술여현미신경외과수술치료공능구시상두대뇌렴방뇌막류적림상료효。방법선취공능구시상두렴방뇌막류환자작위연구대상，2003년6월전수치적44례작위대조조채용상규수술치료；2003년6월후수치적40례작위연구조채용현미외과수술치료，비교량조적림상료효。결과연구조종류전절제솔위84．1％，고우대조조적57．5％（χ2＝7．259）；연구조술중평균수혈량위（389．2±210．3） ml，저우대조조적（1058．4＋386．2） ml；연구조평균수술시간위（75．6＋18．8）min，고우대조조적（50．4＋12．2）min；연구조증상개선42례（95．5％），고우대조조적31례（77．5％），량조재종류전절제솔、술중수혈량、수술시간화술후증상개선솔등방면비교차이유통계학의의（P＜0．05）。결론현미외과수술방법치료공능구시상두렴방뇌막류，가제고환자술후생존질량，림상료효현저，치득재림상상진일보추엄。
Objective To compare and analyze the clinical efficacy of conventional surgery and microsurgery in treat-ment of parasagittal and parafalcine meningioma(PPM)in functional area.Methods A series of patients with PPM in functional area were collected.44 cases underwent routine surgical treatment was the control group,40 cases received the microsurgery treat-ment was the experimental group.Clinical efficacy of the 2 groups was compared.Results In the experimental group,complete resection rate was 84.1%,mean blood loss was(389.2 ±210.3) ml,symptom improvement rate was 95.5%,average operative duration was (75.6 +18.8) min.In the control group,complete resection rate was 57.5%,mean blood loss was(1 058.4 ± 386.2) ml,symptom improvement rate was 77.5%,average operative duration was(50.4 +12.2) min.There were significant difference in complete resection rate,blood loss,operative duration,and symptom improvement rate(P <0.05)between the 2 groups.Conclusion Microsurgery for PPM in functional area can improve survival outcome and has a significant clinical effect. It is worthy of further clinical promotion.