摘要
目的探讨单侧额下入路显微手术切除大型跨中线嗅沟脑膜瘤的临床效果。方法回顾分析本院2013年1月～2016年4月收治的90例大型跨中线嗅沟脑膜瘤患者,按治疗方法不同分成两组。对照组给予双侧额下入路显微手术切除,观察组则给予单侧额下入路显微手术切除。比较两组大型跨中线嗅沟脑膜瘤治疗转归效果;切除肿瘤所需要的时间、患者机体恢复的时间;手术的并发症;治疗前后的QOL生活质量量表的分数。结果观察组大型跨中线嗅沟脑膜瘤治疗转归效果有效率高于对照组,差异有统计学意义(P <0.05)。观察组切除肿瘤所需要的时间、患者机体恢复的时间均短于对照组,差异有统计学意义(均P <0.05);观察组手术的并发症低于对照组,差异有统计学意义(P <0.05)。治疗前两组QOL生活质量量表的分数并无显著差异(P> 0.05);治疗后观察组QOL生活质量量表的分数优于对照组,差异有统计学意义(P <0.05)。结论单侧额下入路显微手术切除大型跨中线嗅沟脑膜瘤的临床效果确切,可显著改善患者的临床症状,缩短机体康复时间,促进生活质量的改善。
Objective To investigate the clinical effect of unilateral subfrontal approach for microsurgical removal of large transseptal olfactory meningioma. Methods A retrospective analysis of 90 patients with large-scale midline olfactory meningioma treated from January 2013 to April 2016 was divided into two groups according to different treatment methods. Patients in the control group were treated with bilateral subfrontal approach for microsurgical resection, while patients in the observation group were treated with unilateral subfrontal approach for microsurgical resection. The outcomes of the two groups of large-scale midline olfactory meningioma, the time required to remove the tumor, the time of recovery of the patient's body, the complications of surgery, and the score of the QOL quality of life scale before and after treatment were compared. Results In the observation group, the effect of treatment of large-scale midline olfactory meningioma was significantly better than that of the control group (P < 0.05). The time required for tumor removal and the recovery time of the patients in the observation group were shorter than those in the control group (P < 0.05). The complications of the observation group were significantly lower than those of the control group (P < 0.05). There was no significant difference in the scores of the QOL quality of life scale between the two groups before treatment (P > 0.05). The scores of the QOL quality of life scale in the observation group were better than those in the control group after treatment (P < 0.05). Conclusions The unilateral subfrontal approach for microsurgical removal of large transseptal olfactory meningioma has a clinically effective effect, which can significantly improve the clinical symptoms of patients, shorten the recovery time of the body and promote the improvement of quality of life.
作者
钮优生
NIU You-sheng(Nanyang First People's Hospital, Nanyang, Henan, 473000, China)
出处
《临床研究》
2019年第3期11-13,共3页
Clinical Research
关键词
单侧额下入路显微手术
大型跨中线嗅沟脑膜瘤
临床效果
unilateral subfrontal approach microsurgery
large trans-middle line olfactory meningioma
clinical effect
