幕上深部脑囊肿立体定向穿刺腹腔分流术与锁孔囊肿切除术对比的临床研究  

The Clinical Efficacy of Stereotactic Puncturing Abdominal Shunt and Keyhole Cystectomy in the Deep Cerebral Cyst

作　　者：曾火勇[1] 张宗平[1] 冯海滨[1] 袁炳文 Zeng Huoyong(Guangdong Agricultural Reclamation Center Hospital,Zhanjiang City,Zhanjiang Guangdong 524000)

机构地区：[1]湛江市广东省农垦中心医院外五科

出　　处：《黑龙江医药》2020年第1期16-18,共3页Heilongjiang Medicine journal

基　　金：湛江市非资助科技攻关计划项目(项目编号:2017B01129)

摘　　要：目的:探究幕上深部脑囊肿立体定向穿刺腹腔分流术与锁孔囊肿切除术的临床疗效。方法:将36名幕上深部脑囊肿患者分为立体定向囊肿穿刺腹腔分流术组(分流组)和锁孔囊肿切除术组(切除组),对比术后评价指标并分析。结果:并发症:3、6、12个月各并发症发生率相近(P均>0.05),但切除组总并发症发生率明显小于分流组(P=0.021)。囊肿缩小情况:12个月后切除组有效率高于分流组(P=0.031)。心理及生活质量:术后3月SAS评分、SDS评分、FIM评分进行比较,切除组患者心理及生活质量比分流组更优(均P<0.05)。结论:锁孔囊肿切除术的总并发症、囊肿治疗有效率、心理、生活质量改善情况优于立体定向穿刺腹腔分流术。Objective: To investigate the clinical efficacy of stereotactic puncturing abdominal shunt and keyhole cystectomy in the deep cerebral cyst. Methods: Thirty-six patients with deep cerebral cysts were divided into stereotactic puncturing abdominal shunt( shunt group) and keyhole cystectomy group( cystectomy group). The postoperative evaluation indexes were compared and analyzed.Results: Complications: The incidence of complications was similar at 3,6,and 12 month( P>0.05),but the total complication rate was significantly lower in the cystectomy group than in the shunt group( P = 0.021). Shrink of cyst: After 12 months,the cystectomy group was more effective than the shunt group( P = 0.031). Psychology and quality of life: Compared with the SAS scores,SDS scores and FIM scores in March,the psychological and quality of life of the patients in the cystectomy group were better than those in the shunt group( P < 0. 05). Conclusion: The total complications of cystic cystectomy,cystic treatment efficiency,psychological and quality of life improvement are better than stereotactic puncturing abdominal shunt.

关 键 词：幕上深部脑囊肿 立体定向穿刺腹腔分流术 锁孔囊肿切除术 治疗效果 

分 类 号：R739.41[医药卫生—肿瘤]