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目的探讨应用显微手术治疗神经外科肿瘤的疗效和体会。方法选择2007年6月至2012年6月收治用显微手术进行切除治疗的肿瘤患者74例,分析手术方法,总结手术效果。结果 74例患者共切除肿瘤79枚,平均误差(1.5±0.2)mm;全切68例73枚,次全切6例6枚;手术时间(306.4±25.4)min。神经纤维瘤16枚、脑膜瘤11枚,髓母细胞瘤7枚、侵袭性垂体腺瘤9枚、神经鞘瘤6枚,血管母细胞瘤4枚、血管网状细胞瘤5枚、室管膜瘤5枚、星形细胞瘤2枚、海绵状血管瘤1枚,胆脂瘤3枚、畸胎瘤2枚、脉络丛乳头状瘤5枚、蛛网膜囊肿3枚。术后66例患者症状改善;8例有并发症,其中6例经治疗后好转,2例死亡。结论通过显微技术对神经外科肿瘤的患者进行手术治疗,可最大限度的保护患者的神经功能不被破坏,提高患者的生命质量。
Objective To investigate the effect and experience of using microsurgical treatment of neurosurgical tumors. Methods Totally 74 patients with tumor treated with microsurgical resection from June 2007 to June 2012 were selected. Surgical methods were analyzed to summarize the surgical results. Results A total of 79 tumors were resected in all 74 patients, with an average error of 1.5 ± 0.2 mm. There were 73 resected in 68 cases and 6 in 6 cases. The operative time was 306.4 ± 25.4 min. 16 neurofibroma, 11 meningioma, 7 medulloblastoma, 9 invasive pituitary adenoma, 6 schwannoma, 4 hemangioblastoma, 5 vascular reticular cell tumor, ependymal 5 tumors, 2 astrocytomas, 1 cavernous hemangioma, 3 cholesteatoma, 2 teratoma, 5 choroid plexus papilloma and 3 arachnoid cysts. Postoperative 66 patients improved symptoms; 8 patients had complications, 6 of which improved after treatment and 2 died. Conclusion Surgical treatment of patients with neurosurgical tumors by microscopy can maximize the protection of patients’ neurological function from damage and improve patient quality of life.