立体定向靶向微创手术治疗脑肿瘤的临床效果  

Clinical effect of stereotactic targeting minimally invasive surgery in the treatment of brain tumor

作　　者：华锋 梁珂 HUA Feng;LIANG Ke(Xianyang Hospital of Yan'an University,Xianyang 712000;People's Hospital of Tongchuan,Tongchuan 727000,China)

机构地区：[1]延安大学咸阳医院,陕西咸阳712000 [2]铜川市人民医院,陕西铜川727000

出　　处：《临床医学研究与实践》2023年第21期53-56,共4页Clinical Research and Practice

摘　　要：目的分析立体定向靶向微创手术治疗脑肿瘤的临床效果。方法选取2018年7月至2021年3月我院收治的80例脑肿瘤患者,将其随机分为对照组和研究组,各40例。对照组接受开颅肿瘤切除术,研究组接受立体定向靶向微创手术。比较两组的手术情况、住院时间、术后并发症发生情况、疼痛程度、神经功能缺损程度、预后、认知功能及日常生活能力。结果研究组的手术时间、住院时间短于对照组,术中出血量少于对照组,差异具有统计学意义(P<0.05)。研究组的术后并发症总发生率低于对照组,差异具有统计学意义(P<0.05)。术后当天及术后第2、3天,研究组的视觉模拟评分法(VAS)评分低于对照组,差异具有统计学意义(P<0.05)。术后3个月,两组的美国国立卫生研究院卒中量表(NIHSS)、改良Rankin量表(mRS)评分均降低,简易精神状态检查量表(MMSE)、蒙特利尔认知评估量表(MoCA)、日常生活活动能力(ADL)评分均升高,且研究组优于对照组,差异具有统计学意义(P<0.05)。结论立体定向靶向微创手术治疗脑肿瘤患者可缩短手术时间、住院时间,减少术中出血量及术后并发症,减轻术后疼痛程度,改善神经功能、预后、认知功能,提高日常生活能力,值得临床推广和应用。Objective To analyze the clinical effect of stereotactic targeting minimally invasive surgery in the treatment of brain tumor.Methods A total of 80 patients with brain tumor treated in our hospital from July 2018 to March 2021 were selected and randomly divided into control group and study group,with 40 cases in each group.The control group received craniotomy tumor resection,and the study group received stereotactic targeting minimally invasive surgery.The surgery condition,hospitalization time,occurrence of postoperative complications,pain degree,neurological deficit degree,prognosis,cognitive function and daily living ability of the two groups were compared.Results The surgery time and hospitalization time of the study group were shorter than those of the control group,the intraoperative blood loss was less than that of the control group,and the differences were statistically significant(P<0.05).The total incidence of postoperative complications in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).On the day after surgery and on the 2 nd and 3 rd day after surgery,the Visual Analogue Scale(VAS)score of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).At 3 months after surgery,the scores of National Institutes of Health Stroke Scale(NIHSS)and modified Rankin Scale(mRS)in the two groups decreased,the scores of Mini Mental State Examination(MMSE),Montreal Cognitive Assessment(MoCA)and Ability of Daily Living(ADL)increased,those in the study group were better than the control group,and the differences were statistically significant(P<0.05).Conclusion Stereotactic targeting minimally invasive surgery in the treatment of patients with brain tumor can shorten surgery time,hospitalization time,reduce intraoperative blood loss and postoperative complications,reduce degree of postoperative pain,ameliorate neurological function,prognosis and cognitive function,and improve daily living ability,w

关 键 词：脑肿瘤 开颅肿瘤切除术 立体定向靶向微创手术 

分 类 号：R739.41[医药卫生—肿瘤]