摘要
目的探讨神经导航系统在丘脑胶质瘤显微外科手术治疗中的应用价值。方法选择2009年4月至2013年2月安阳市人民医院收治的丘脑胶质瘤患者146例,其中76例行神经导航系统下丘脑胶质瘤显微外科切除术(观察组),70例行常规手术(对照组),比较2组患者的治疗效果。结果观察组患者的手术时间、住院时间显著短于对照组(P<0.05),术中出血量、术后引流量显著少于对照组(P<0.05)。观察组患者肿瘤全切除率、次全切除率、部分切除率分别为72.4%(55/76)、23.7%(18/76)和3.9%(3/76),对照组患者肿瘤全切除率、次全切除率、部分切除率分别为30.0%(21/70)、54.3%(38/70)和15.7%(11/70),观察组患者肿瘤全切除率显著高于对照组(P<0.01);观察组患者肿瘤次全切除率和部分切除率显著低于对照组(P<0.01,P<0.05)。观察组和对照组患者并发症发生率分别为22.4%(17/76)和55.7%(39/70),观察组患者并发症发生率显著低于对照组(P<0.05)。结论神经导航系统辅助下显微外科手术治疗丘脑胶质瘤手术时间短,术中出血量和引流量少,肿瘤全切除率高,且并发症发生率低。
Objective To investigate the value of neuronavigation system assisted microsurgery in the treatment of tha- lamic glioma. Methods A total of 146 patients with thalamic glioma in the People＇s Hospital of Anyang City were selected from April 2009 to February 2013. Seventy-six patients in observation group were treated with neuronavigation system assisted microsurgery, seventy patients in control group were treated with conventional surgery. The effect was compared between the two groups. Results The operation time and hospitalization time in observation group were significantly shorter than those in con- trol group （P 〈 0.05 ） , but the intraoperative bleeding volume and postoperative draining volume in observation group were sig- nificantly less than those in control group（P 〈 0.05 ）. The total resection rate,subtotal resection rate and partial resection rate in observation group were 72.4% （ 55/76 ） ,23.7% （18/76） and 3.9% （ 3/76 ）, respectively ; the total resection rate, snbtotal resection rate and partial resection rate in control group were 30.0% （21/70） ,54.3 % （38/70） and 15.7% （ 11/70 ）, respec- tively. The total resection rate in observation group was significantly higher than that in control group （P 〈 0. 01 ）, but the sub- total resection rate and partial resection rate in observation group were significantly lower than those in control group （P 〈 0. 01 ）. The incidence of complication in observation group and control group was 22.4% （17/76） and 55.7% （39/70）, re- spectively; the incidence of complication in observation group was significantly lower than that in control group （P 〈 0. 05 ）. Conclusion Neuronavigation system assisted microsurgery in the treatment of thalamic glioma has short operation time,little intraoperative bleeding and postoperative draining,high total resection rate and low incidence of complication.
出处
《新乡医学院学报》
CAS
2015年第5期435-437,共3页
Journal of Xinxiang Medical University
