经纵裂入路显微切除术治疗鞍结节脑膜瘤的临床疗效分析  

Effect of clinical efficacy and complications of via transcallosal approach microsurgery for saddle nodules meningiomas

作　　者：何泽元 康东[1] 熊学华[1] 罗可[1] 

机构地区：[1]四川省遂宁市中心医院神经外科,遂宁629000

出　　处：《中国肿瘤临床与康复》2015年第11期1342-1344,共3页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨经纵裂入路显微切除术对治疗鞍结节脑膜瘤的临床疗效及并发症。方法选择2012年1月至2015年1月间收治的80例鞍结节脑膜瘤患者,按照随机数字表法分为观察组和对照组,每组各40例。观察组患者接受经纵裂入路显微切除术,对照组患者接受额下入路显微切除术。观察和比较两组患者切除有效率、治疗前后格拉斯哥昏迷(GCS)评分,以及术后并发症发生情况。结果与对照组比较,观察组患者切除有效率有所提高,但差异无统计学意义(P>0.05);观察组患者治疗后GCS评分明显增高(P<0.05);观察组患者术后并发症发生率显著降低(P<0.05)。结论对于鞍结节脑膜瘤患者,经纵裂入路显微切除术能够充分暴露术野,术后并发症少,具有较高的肿瘤切除率及安全性。Objective To study the effect of clinical efficacy and complications of via transcallosal approach microsurgery for saddle nodules meningiomas. Methods From January 2012 to January 2015 in Suining Central Hospital,80 patients with saddle nodules meningiomas were enrolled in the study and randomized into the observation group（ via transcallosal approach microsurgery）,and the control group（ via subfrontal approach microsurgery）,40 patients per group. The effective removed rate,the Glasgow Coma Scale（ GCS） scores on pre- and post-treatment,and postoperative complications in the two groups were observed and compared. Results Compared with the control group,the effective removed rate was increasd in the observation group,but with no statistical difference（ P 0. 05）; the GCS scores was significantly increased on post-treatment in the observation group（ P 0. 05）; the incidence of postoperative complications was obviously reduced in the observation group（ P 0. 05）. Conclusion For the patients with saddle nodules meningiomas,via transcallosal approach microsurgery can fully expose the operative field,less postoperative complications with higher tumor resection rate and safety.

关 键 词：鞍结节脑膜瘤 经纵裂入路显微切除术 治疗结果 并发症 

分 类 号：R739.45[医药卫生—肿瘤]