锁孔手术治疗颅内肿瘤的临床疗效观察  

Clinical Observation of Efficacy of Keyhole Surgery in the Treatment of Intracranial Tumor

作　　者：周晋[1] 黄春刚[1] 郑建辉[1] 常久魁 

机构地区：[1]河北省唐山市丰润区人民医院,064000

出　　处：《实用癌症杂志》2018年第2期214-216,共3页The Practical Journal of Cancer

摘　　要：目的探讨锁孔手术治疗颅内肿瘤的疗效。方法选取97例颅内肿瘤患者,实验组采取显微镜下锁孔手术治疗,对照组采取骨瓣开颅手术治疗。比较2组患者手术时间、术中出血量、并发症;比较2组患者的治疗效果,包括治愈率、致残率、死亡率。结果实验组手术时间、术中出血量、术后首次排气时间、首次排便时间、ICU时间均低于对照组,差异均有统计学意义(P<0.05)。实验组并发症发生率低于对照组,差异均有统计学意义(P<0.05)。实验组治愈率(90.00%)高于对照组,而致残率(10.00%)与死亡率(0%)均低于对照组(21.28%与10.63%),差异均有统计学意义(P<0.05)。对照组的切口满意占68.08%,实验组切口满意占96.00%,差异均有统计学意义(P<0.05)。2组患者术后复发率无明显差异(P>0.05)。结论采取显微镜下锁孔手术治疗颅内肿瘤,手术时间短,术中出血量少,并发症发生率低,治愈率高,致残率、致死率低,安全有效。Objective To study the efficacy of keyhole surgery in the treatment of intracranial tumor patients, analyze the curative effect. Methods 97 cases of intracranial tumors were selected. The experimental group was treated with microscope un- der the keyhole. The control group was treated with craniotomy. The operative time, intraoperative blood loss and complication were compared between the 2 groups. The curative effect, including cure rate, morbidity and mortality, were compared between the 2 groups. Results The operation time, intraoperative blood loss, postoperative first exhaust time, first defecation time and ICU time were lower in the experimental group than in the control group （ P 〈 0.05 ）. The incidence of complications in the experimental group was lower than that of the control group, the difference was statistically significant （P 〈 O. 05 ）. The cure rate （ 10. 00% ） and mortality （0%） of the experimental group were lower than those of the control group （21.28% and 10.63% ） ,the difference was statistically significant （ P 〈 0.05 ）. The incision satisfaction of the control group was 68.08%, and the incision satisfaction was 96.00% in the experimental group, the difference was statistically significant （ P 〈 0.05 ）. There was no significant difference in recurrence rates between the 2 groups （ P 〉 0.05 ）. Conclusion Microscope keyhole surgery in the treatment of intracranial tumors has shorter operation time, less intraoperative blood loss,lower complication rate is low, higher cure rate, low morbidity and mortality, it is safe and effective.

关 键 词：锁孔手术 颅内肿瘤 疗效 

分 类 号：R739.41[医药卫生—肿瘤]