神经内镜联合影像导航手术切除深部胶质瘤的临床效果  

Clinical Effect of Neuroendoscopy Combined with Image-guided Surgery for Deep Glioma

作　　者：叶新运[1] 赖文焘 冯开明[1] 宋海民[1] 蒋秋华[1] YE Xinyun;LAI Wentao;FENG Kaiming;SONG Haimin;JIANG Qiuhua(Ganzhou People’s Hospital,Ganzhou 341000,China)

机构地区：[1]江西省赣州市人民医院,江西赣州341000

出　　处：《中国医学创新》2020年第2期34-37,共4页Medical Innovation of China

基　　金：江西省卫生计生委科技计划项目(20184066)。

摘　　要：目的:探讨神经内镜联合影像导航手术切除深部胶质瘤的临床应用价值。方法:选取本院2014年1月-2018年12月收治的60例深部胶质瘤患者为研究对象,按照随机数字表法分为对照组与试验组,各30例。对照组采用常规治疗方法,试验组采用神经内镜联合影像导航手术治疗。比较两组的手术指标、手术切除情况和恢复情况。结果:试验组患者手术时间、住院时间及术中出血量均明显少于对照组,差异均有统计学意义(P<0.05)。试验组患者术后3个月恢复率为100%,虽然高于对照组的90.0%,但差异无统计学意义(P>0.05),且两组均未发生植物生存和死亡病例。试验组患者的全切除例数多于对照组,差异有统计学意义(P<0.05)。试验组患者术后并发症发生率为10.0%,虽低于对照组的30.0%,但差异无统计学意义(P>0.05)。结论:神经内镜联合影像导航手术切除深部胶质瘤有较好的治疗效果,能缩短手术时间和住院时间,减少术中出血量,预后理想,且能降低并发症的发生率。Objective: To explore the clinical value of neuroendoscopy combined with image-guided surgery in the resection of deep glioma. Method: A total of 60 patients with deep glioma admitted to our hospital from January 2014 to December 2018 were selected as the research objects. According to the random number table method, they were divided into control group and experimental group, 30 cases in each group. The control group received conventional treatment, the experimental group was treated with neuroendoscopy combined with image guided surgery. The surgical indexes, surgical resection and recovery of the two groups were compared. Result: The operation time, hospital stay and intraoperative blood loss in the experimental group were significantly less than those in the control group, with statistically significant differences(P<0.05). 3 months after surgery, the recovery rate of the experimental group was 100%, which was higher than 90.0% of the control group, but the difference was not statistically significant(P>0.05). There were no plant survival and death cases in both groups. The number of total excision cases of the experimental group was higher than that of the control group, the difference was statistically significant(P<0.05). The incidence of postoperative complications in the experimental group was 10.0%, which was lower than 30.0% in the control group, but the difference was not statistically significant(P>0.05). Conclusion: Neuroendoscopy combined with image-guided surgery for deep glioma resection has a good therapeutic effect, which can shorten the operation time and hospital stay, reduce intraoperative blood loss, achieve an ideal prognosis, and reduce the incidence of complications.

关 键 词：神经内镜 影像导航 手术切除 深部胶质瘤 

分 类 号：R739.41[医药卫生—肿瘤]