用显微手术疗法与传统手术疗法治疗鞍区肿瘤的疗效分析  

Comparison of curative effect of microsurgery and traditional operation of sellar tumors

作　　者：李涛[1] 兰宗铭[1] 杨呈浩[1] 

机构地区：[1]自贡市第四人民医院神经外科,四川自贡643000

出　　处：《当代医药论丛》2014年第14期257-258,共2页

摘　　要：目的:对比分析用显微手术疗法与传统手术疗法治疗鞍区肿瘤的临床疗效。方法:将我院收治的28例鞍区肿瘤患者分为A组和B组,为A组患者进行显微手术治疗,为B组患者进行传统手术治疗,比较两组患者肿瘤切除的效果、发生术后并发症的情况及患者视力、视野障碍的好转率。结果:A组患者的肿瘤有效切除率明显高于B组患者,差异显著(P<0.05),有统计学意义。A组患者发生尿崩的几率明显低于B组患者,差异显著(P<0.05),有统计学意义。两组患者发生电解质紊乱的几率相比较,差异不显著,无统计学意义(P>0.05)。A组患者视力、视野障碍的改善情况优于B组患者(P<0.05)。结论在切除鞍区肿瘤方面,显微手术疗法具有术野显露良好、操作精细、肿瘤切除彻底、可妥善保护颈内动脉、视神经、下丘脑、垂体柄等重要结构、降低患者发生术后并发症的几率、促使其在术后更快恢复等优势,值得在临床上推广使用。Objective: Retrospective analysis was made to the clinical curative effect of microsurgery on sellar tumor. Methods: In 28 patients with sellar region tumor were divided into two groups. A group using microscope, surgical treatment. B group using the traditional surgery under direct vision. Compared two groups of patients with postoperative tumor resection, postoperative complications and visual acuity and visual field impairment improvement rate. Results: The microsurgery group patients tumor resection rate is higher than the conventional surgery group by head MRI examination, the microsurgery group diabetes insipidus was lower than traditional surgery group. Visual acuity and visual obstruction improved microsurgical group is better than traditional surgery group. Conclusions: Microsurgery on sellar with tumor resection rate more effective, less complications, patients recover better.

关 键 词：鞍区肿瘤 显微手术 疗效比较 

分 类 号：R651.1+1[医药卫生—外科学]