CAJ | 학술논문

目的：针对嗅沟脑膜瘤的显微外科手术治疗预后进行分析。方法：随机选择2012年5月-2014年5月，本院收治的嗅沟脑膜瘤患者60例，作为本次研究的对象，对所有患者实施显微外科手术治疗预后，观察患者治疗前后的临床症状和特征的变化。结果：本次研究中60例患者，术后颅内压无明显变化、出现/加重所占比例均为0，与治疗前相比，差异具有统计学意义（P<0.05）。视力障碍术后无明显变化的患者所占的比例为10.00%，与治疗前相比，差异具有统计学意义（P<0.05）。癫痫无明显变化患者所占的比例为1.67%，与治疗前相比，差异具有统计学意义（P<0.05）。精神障碍患者术后出现/加重所占的比例为3.33%，与治疗前比较，差异具有统计学意义（P<0.05）。嗅觉障碍术后无明显变化所占的比例为13.33%，与治疗前比较差异无统计学意义（P>0.05）。结论：在嗅沟脑膜瘤治疗中，显微外科手术治疗和预后，可以显著改善患者的颅内高压、视力障碍、癫痫的症状，术后并发症发生率较低，有较好的临床预后效果，所以在嗅沟脑膜瘤的治疗有重要的意义。
목적：침대후구뇌막류적현미외과수술치료예후진행분석。방법：수궤선택2012년5월-2014년5월，본원수치적후구뇌막류환자60례，작위본차연구적대상，대소유환자실시현미외과수술치료예후，관찰환자치료전후적림상증상화특정적변화。결과：본차연구중60례환자，술후로내압무명현변화、출현/가중소점비례균위0，여치료전상비，차이구유통계학의의（P<0.05）。시력장애술후무명현변화적환자소점적비례위10.00%，여치료전상비，차이구유통계학의의（P<0.05）。전간무명현변화환자소점적비례위1.67%，여치료전상비，차이구유통계학의의（P<0.05）。정신장애환자술후출현/가중소점적비례위3.33%，여치료전비교，차이구유통계학의의（P<0.05）。후각장애술후무명현변화소점적비례위13.33%，여치료전비교차이무통계학의의（P>0.05）。결론：재후구뇌막류치료중，현미외과수술치료화예후，가이현저개선환자적로내고압、시력장애、전간적증상，술후병발증발생솔교저，유교호적림상예후효과，소이재후구뇌막류적치료유중요적의의。
Objective:To analysze the microscopic surgery prognosis of olfactory groove meningioma .Method:60 patients with olfactory groove meningioma were randomly selected in our hospital from May 2012 to May 2014 as the research object,the microscopic surgical treatment outcomes for all patients were compared,before and after treatment in patients with clinical symptoms and characteristics of the change were observed.Result:In this study,the 60 patientspostoperative intracranial pressure had no obvious change or appear/increase proportion was 0,compared with before treatment,had significant differences,the difference was statistically significant(P<0.05).Visual impairment with postoperative had no obvious change of patients the proportion was 10.00%,compared with before treatment,the difference was statistically significant(P<0.05).The proportion of patients with epilepsy had no obvious change was 1.67%,compared with before treatment,the difference was statistically significant(P<0.05).Postoperative mental disorders appear/increase the proportion was 3.33%,compared with before treatment,the difference was statistically significant(P<0.05).Postoperative smell disorders had no obvious change the proportion was 18.33%,compared with before treatment the difference was statistically significant(P<0.05).Conclusion:In the olfactory groove meningioma treatment,micro surgical treatment prognosis can significantly improve the patient’s symptoms,can significantly improve the patient’s intracranial pressure,visual impairment and epilepsy,lower incidence of postoperative complications,and has better effect on clinical outcomes,so in the treatment of the olfactory groove meningioma has important significance.