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目的探讨神经内镜辅助显微手术治疗囊性脑肿瘤的临床疗效。方法 52例囊性脑肿瘤患者,根据随机数字表法将患者分为对照组(19例)与观察组(33例)。对照组患者行显微手术下切除手术,观察组患者在对照组基础上行神经内镜辅助治疗。比较两组患者的肿瘤切除情况、并发症、复发率以及死亡率。结果观察组患者肿瘤全切除率显著高于对照组,差异有统计学意义(P<0.05)。观察组并发症4例,复发4例;对照组并发症3例,复发3例,死亡1例;两组并发症、复发率、死亡率比较,差异均无统计学意义(P>0.05)。结论在囊性脑肿瘤治疗中,采用神经内镜辅助显微手术治疗较单独行显微手术的全切率更高,值得在临床推广与应用。
Objective To investigate the clinical efficacy of endoscopic assisted microsurgery in the treatment of cystic brain tumors. Methods 52 patients with cystic brain tumor were divided into control group (n = 19) and observation group (n = 33) according to the random number table method. The patients in the control group underwent microsurgical resection and the patients in the observation group underwent neuroendoscope assisted therapy on the basis of the control group. The tumor resection, complications, recurrence rate and mortality of the two groups were compared. Results The total resection rate of the observation group was significantly higher than that of the control group, the difference was statistically significant (P <0.05). There were 4 cases of complications and 4 cases of recurrence in the observation group. There were 3 cases of complications in the control group, 3 cases of recurrence and 1 case of death. There was no significant difference in complication, recurrence rate and mortality between the two groups (P> 0.05). Conclusion In the treatment of cystic brain tumors, neurosurgery-assisted microsurgery is more effective than single-line microsurgery, which is worthy of clinical promotion and application.