显微手术在矢状窦镰旁脑膜瘤中的治疗效果分析  

Therapeutic Effect of Microsurgery in the Treatment of Para-meningiomas of Sagittal Sinus

作　　者：胡世颉[1] 李兵[1] 闫志强[1] 胡学安[1] 李亮[1] 赵东升[1] 郑新瑞[1] 韩福新[1] 董必峰 费舟[1] 

机构地区：[1]第四军医大学西京医院神经外科,陕西西安710032

出　　处：《现代生物医学进展》2017年第16期3060-3063,共4页Progress in Modern Biomedicine

基　　金：陕西省社会发展科技攻关项目(2015SF030)

摘　　要：目的:研究显微手术在矢状窦镰旁脑膜瘤中的治疗效果。方法:选取2014年7月至2015年6月本院收治的150例矢状窦镰旁脑膜瘤患者,根据投硬币法分为观察组和对照组,每组75例。观察组采取显微手术进行治疗,对照组采用常规开颅手术方式进行治疗,比较两组患者的手术指标、手术切除率、临床疗效及并发症的发生率。结果:观察组的术中输血量、出血量均显著少于对照组(P<0.05),两组患者手术时间、手术切除程度、改善率、致残率及死亡率比较差异均无统计学意义(P>0.05)。观察组总的并发症发生率显著低于对照组(P<0.05)。结论:经显微手术治疗矢状窦镰旁脑膜瘤患者术中输血量和出血量较少,手术效果良好,安全性高。Objective： To study the curative effect of microsurgery in treatment of para-meningiomas of sagittal sinus. Methods： 150 patients with meningioma of the sagittal sinus who were treated in our hospital from July 2014 to June 2015 were selected and randomly divided into the observation group and the control group, with 75 cases in each group. The patients in the observation group were treated with microsurgery, and the patients in the control group were treated with conventional craniotomy. Then the operation indexes, surgical resection rate, clinical curative effect and complication rate were observed and compared between the two groups before and after the treatment. Results： The amount of blood transfusion and blood loss in the observation group were significantly lower than those of the control group （P〈0.05）. There was no significant difference in the operation time, the improvement rate, the morbidity rate and death rate between the two groups （P〉 0.05）. The incidence of complications in the observation group was significantly lower than that of the control group （P〈0.05）. Conclusion： Microsurgical treatment ofmeningiomas near sagittal sinus has less blood transfusion and hemorrhage, with better curative effect and lower incidence of complications, which is worthy of clinical application.

关 键 词：显微手术 矢状窦镰旁脑膜瘤 治疗效果 

分 类 号：R739.4[医药卫生—肿瘤]