显微手术和非显微手术治疗内侧型蝶骨嵴脑膜瘤临床疗效对比观察  

Comparative observation on clinical efficacy of microsurgical and non-microsurgical treatment for medial sphenoid ridge meningioma

作　　者：邱平[1] 阙双林[1] 祁小龙[1] 

机构地区：[1]福建省龙岩市第一医院,龙岩364000

出　　处：《中国实用神经疾病杂志》2014年第10期38-39,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨显微手术和非显微手术治疗内侧型蝶骨嵴脑膜瘤的临床疗效差异。方法选取我院收治的42例内侧型蝶骨嵴脑膜瘤患者,随机均分为对照组(非显微手术治疗)和观察组(显微手术治疗),比较2组患者的Simpson分级、致残率、治愈率和并发症发生率的差异。结果观察组Simpson分级显著优于对照组(P<0.05);观察组患者无1例重残和死亡,对照组重残6例(28.6%),死亡7例(33.3%),2组比较差异有统计学意义(P<0.05);观察组并发症发生率显著低于对照组(P<0.05)。结论显微手术治疗内侧型蝶骨嵴脑膜瘤疗效确切,可显著提高肿瘤全切率和手术疗效,降低致残率和病死率,减少并发症的发生。Objective To investigate differences in clinical efficacy of microsurgical and non-microsurgical treatment for medial sphenoid ridge meningioma.Methods Forty-two cases of medial sphenoid ridge meningioma in our hospital were randomly divided into control group （received non-microsurgical treatment ） and observation group （received microsurgical treatment）.The Simpson grading ,disability rate ,cure rate and complication rate of two groups were compared.Results The Simpson grading of observation group was significantly better than that of control group （P〈0.05）. There was no one case of severe disability and death in observation group. In control group , there were 6 cases （28.6% ） of severe disability and 7 cases （33.3% ） of death ,the difference was statistically significant （P〈 0.05）.The incidence of complication in observation group was significantly lower than that in control group（P〈0.05）. Conclusion Microsurgical treatment for medial sphenoid ridge meningioma is effective. It can significantly increase total resection rate of tumor and surgical efficacy ,and reduce morbidity , mortality and the incidence of complications.

关 键 词：显微手术 非显微手术 内侧型 蝶骨嵴脑膜瘤 

分 类 号：R739.41[医药卫生—肿瘤]