内侧型蝶骨嵴脑膜瘤在显微与非显微手术下的疗效探究(1)
摘要：目的 探究与分析内侧型蝶骨嵴脑膜瘤在显微与非显微手术治疗下的临床效果。方法 选取我院自2014年11月～2016年11月收治的90例内侧型蝶骨嵴脑膜瘤患者，分为对照组与观察组，每组各45例，对照组给予非显微手术治疗，观察组给予显微手术治疗，对比两组患者Simpson分级、并发症发生率。结果 观察组与对照组相比Simpson分級为Ⅰ级、Ⅱ级者比例均较高，Simpson分级为Ⅲ级者比例较低，差异具有统计学意义(P<0.05)。观察组与对照组相比肺部感染、上消化道出血、继发颅内血肿、对侧肢体偏瘫发生率均明显较低，差异具有统计学意义(P<0.05)。结论 内侧型蝶骨嵴脑膜瘤在显微手术下的治疗比非显微手术的临床效果更加显著，不良反应发生率较低，安全性较高，预后效果好。
关键词：显微手术；非显微手术；内侧型蝶骨嵴脑膜瘤
中图分类号：R739.45 文献标识码：A 文章编号：1006-1959(2017)21-0058-02
, http://www.100md.com
Effect of Medial Sphenoid Ridge Meningioma on Micro and Non-microsurgery
WANG Jun
(Department of Neurosurgery，Ya'an People's Hospital， Ya'an 625000，Sichuan，China)
Abstract：Objective To explore and analyze the clinical effect of medial sphenoid ridge meningiomas in microscopic and non microsurgery treatment. Methods 90 cases of medial sphenoid ridge meningioma patients in our hospital from November 2014 to November 2016，divided into control group and observation group，45 cases in each group，the control group was given non microsurgery treatment，observation group received microsurgery treatment，compared two groups of patients with Simpson grading，incidence of complications.Results The observation group compared with the control group of Simpson grade was grade I，grade II ratio were higher，Simpson grade III grade proportion is low，the difference was statistically significant(P< 0.05).The observation group compared with the control group of lung infection，upper gastrointestinal bleeding，secondary intracranial hematoma， contralateral hemiplegia occurred rate were significantly lower，the difference was statistically significant(P<0.05).Conclusion Non treatment of medial sphenoid ridge meningiomas in microsurgery under the clinical effect of microsurgery is more obvious，the incidence of adverse reactions is low，the safety is higher，and the prognosis is good.
, 百拇医药
Key words：Microsurgery；Non-microsurgery；Medial sphenoid ridge meningioma
内侧型蝶骨嵴脑膜瘤的起源部位为前床突及蝶骨小翼内侧，靠近颅内重要的神经及血管结构，严重时可侵犯视神经及前循环动脉，采用手术治疗的难度较大，对患者的生活质量及生命健康造成了较大的威胁[1]。目前针对内侧型蝶骨嵴脑膜瘤的治疗包括显微手术及非显微手术两种类型，我院就此展开研究，结果总结如下。
1资料与方法
1.1一般资料
选取我院自2014年11月～2016年11月收治的90例内侧型蝶骨嵴脑膜瘤患者，均行CT及MRI检查后确诊，排除了合并严重心血管疾病、肝肾功能障碍、精神障碍性疾病及认知功能障碍者，按照就诊时间顺序分为对照组与观察组，每组各45例。对照组中男23例，女22例，年龄23～67岁，平均年龄(42.3±3.4)岁；病程10～25个月，平均病程(15.3±2.4)个月；瘤体直径2.5～5.5 cm，平均瘤体直径(3.9±0.5)cm；合并24例视力下降，25例癫痫，22例眼球突出，27例眼球运动障碍，21例面部感觉减退，23例肌力减退。观察组中男24例，女21例，年龄25～69岁，平均年龄(44.6±3.1)岁；病程12～29个月，平均病程(17.8±2.6)个月；瘤体直径3.2～5.6 cm，平均瘤体直径(4.1±0.4)cm；合并22例视力下降，24例癫痫，21例眼球突出，25例眼球运动障碍，23例面部感觉减退，20例肌力减退。两组患者一般资料无明显差异，具有可比性。全部患者均签署了关于本次试验的知情权同意书，试验符合我院医学伦理会审核。, http://www.100md.com(汪俊)
关键词：显微手术；非显微手术；内侧型蝶骨嵴脑膜瘤
中图分类号：R739.45 文献标识码：A 文章编号：1006-1959(2017)21-0058-02
, http://www.100md.com
Effect of Medial Sphenoid Ridge Meningioma on Micro and Non-microsurgery
WANG Jun
(Department of Neurosurgery，Ya'an People's Hospital， Ya'an 625000，Sichuan，China)
Abstract：Objective To explore and analyze the clinical effect of medial sphenoid ridge meningiomas in microscopic and non microsurgery treatment. Methods 90 cases of medial sphenoid ridge meningioma patients in our hospital from November 2014 to November 2016，divided into control group and observation group，45 cases in each group，the control group was given non microsurgery treatment，observation group received microsurgery treatment，compared two groups of patients with Simpson grading，incidence of complications.Results The observation group compared with the control group of Simpson grade was grade I，grade II ratio were higher，Simpson grade III grade proportion is low，the difference was statistically significant(P< 0.05).The observation group compared with the control group of lung infection，upper gastrointestinal bleeding，secondary intracranial hematoma， contralateral hemiplegia occurred rate were significantly lower，the difference was statistically significant(P<0.05).Conclusion Non treatment of medial sphenoid ridge meningiomas in microsurgery under the clinical effect of microsurgery is more obvious，the incidence of adverse reactions is low，the safety is higher，and the prognosis is good.
, 百拇医药
Key words：Microsurgery；Non-microsurgery；Medial sphenoid ridge meningioma
内侧型蝶骨嵴脑膜瘤的起源部位为前床突及蝶骨小翼内侧，靠近颅内重要的神经及血管结构，严重时可侵犯视神经及前循环动脉，采用手术治疗的难度较大，对患者的生活质量及生命健康造成了较大的威胁[1]。目前针对内侧型蝶骨嵴脑膜瘤的治疗包括显微手术及非显微手术两种类型，我院就此展开研究，结果总结如下。
1资料与方法
1.1一般资料
选取我院自2014年11月～2016年11月收治的90例内侧型蝶骨嵴脑膜瘤患者，均行CT及MRI检查后确诊，排除了合并严重心血管疾病、肝肾功能障碍、精神障碍性疾病及认知功能障碍者，按照就诊时间顺序分为对照组与观察组，每组各45例。对照组中男23例，女22例，年龄23～67岁，平均年龄(42.3±3.4)岁；病程10～25个月，平均病程(15.3±2.4)个月；瘤体直径2.5～5.5 cm，平均瘤体直径(3.9±0.5)cm；合并24例视力下降，25例癫痫，22例眼球突出，27例眼球运动障碍，21例面部感觉减退，23例肌力减退。观察组中男24例，女21例，年龄25～69岁，平均年龄(44.6±3.1)岁；病程12～29个月，平均病程(17.8±2.6)个月；瘤体直径3.2～5.6 cm，平均瘤体直径(4.1±0.4)cm；合并22例视力下降，24例癫痫，21例眼球突出，25例眼球运动障碍，23例面部感觉减退，20例肌力减退。两组患者一般资料无明显差异，具有可比性。全部患者均签署了关于本次试验的知情权同意书，试验符合我院医学伦理会审核。, http://www.100md.com(汪俊)