| 康国创,韦 祎,翟德忠,尚宏杰,谭党会,宋少军.神经导航下经胼胝体-穹窿间入路切除丘脑胶质瘤的临床应用价值分析[J].,2019,19(17):3393-3396 |
| 神经导航下经胼胝体-穹窿间入路切除丘脑胶质瘤的临床应用价值分析 |
| Analysis of the Clinical Value of Neuronavigation-Guided Corpus Callosum-foraminial Approach for the Resection of Thalamus Glioma |
| 投稿时间：2018-12-23 修订日期：2019-01-18 |
| DOI：10.13241/j.cnki.pmb.2019.17.041 |
| 中文关键词: 胼胝体 神经导航 丘脑胶质瘤 丘脑 |
| 英文关键词: Corpus callosum Neural navigation Thalamus glioma Thalamus |
| 基金项目:海南省社会发展专项资助项目(2015SF40) |
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| 中文摘要: |
| 摘要 目的：探讨神经导航系统辅助下经胼胝体-穹窿间入路手术切除丘脑胶质瘤的临床应用价值。方法：选择2016年2月至2018年9月我院收治的丘脑胶质瘤患者60例为研究对象，以其中采用神经导航系统辅助下的经胼胝体-穹隆间入路显微切除丘脑胶质瘤的30例患者作为实验组，另外30例采用常规手术切除的患者作为对照组。分析和比较两组手术情况、治疗效果及并发症的发生情况。结果：治疗后，实验组手术时间、住院时间均比对照组明显缩短，术中出血量及术中引流量显著少于对照组(均P<0.05)；实验组肿瘤全切除率高于对照组，次全切除率及部分切除率均低于对照组(P<0.05)；实验组并发症发生率(20.0%)显著低于对照组(53.3%)(P<0.05)。结论：与常规手术相比，神经导航系统辅助下经胼胝体-穹窿间入路切除丘脑胶质瘤能显著缩短手术时间，减少术中出血量及术后引流量，显著提高丘脑肿瘤全切除率，并降低术后并发症的发生率。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the clinical value of neuronavigation-guided corpus callosum-foraminial approach for the resection of thalamus glioma. Methods: 60 cases of thalamus glioma admitted to our hospital from February 2016 to September 2018 were selected Among them, 30 patients who underwent microsurgical resection of thalamus glioma via the transcallocallose-dome approach assisted by neural navigation system were selected as the experimental group, and the other 30 patients who underwent conventional surgical resection were selected as the control group. The operation condition, treatment effect and incidence of complications were analyzed and compared between two groups. Results: After treatment, the operation time and hospitalization time of experimental group were significantly shorter than those of the control group, and the intraoperative blood loss and intraoperative drainage flow were significantly lower than those of the control group (all P<0.05). The total tumor resection rate of experimental group was higher than that of the control group, and the subtotal resection rate and partial resection rate were lower than those of the control group (P<0.05). The incidence of complications in the experimental group (20.0%) was significantly lower than that in the control group (53.3%)(P<0.05). Conclusion: Compared with the regular surgery, the neuronavigation system can significantly shorten the operation time, reduce the bleeding volume and postoperative drainage, increase the total resection rate of thalamus tumor, and reduce the incidence of postoperative complications. |
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