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目的分析显微外科手术不同入路治疗鞍结节脑膜瘤的临床效果。方法 150例鞍结节脑膜瘤患者按不同手术入路分为治疗组(采用经纵裂入路显微切除术治疗)和对照组(采用额下入路显微切除术治疗),每组75例,比较两组患者临床切除总有效率、治疗前后格拉斯哥昏迷(GCS)评分和并发症发生率。结果治疗组患者临床切除有效率为92.0%,对照组为89.3%,差异无统计学意义(P>0.05)。两组患者手术前GCS评分的差异无统计学意义(P>0.05)。两组患者治疗后GCS评分均明显优于治疗前,且治疗组更加优于对照组,差异有统计学意义(P<0.05)。治疗组患者并发症发生率为4.0%,明显低于对照组患者的20.0%(P<0.05)。结论经纵裂入路显微切除术在治疗鞍结节脑膜瘤疾病临床上效果显著,可明显降低对患者带来的损伤和并发症发生率,促进患者早日康复。
Objective To analyze the clinical effect of different approaches to microsurgical treatment of saddle nodular meningioma. Methods A total of 150 patients with saddle nodular meningiomas were divided into treatment group (treated by microsurgical approach by longitudinal incision) and control group (treated by subtotal microsurgery) under different surgical approaches. Each group of 75 Cases, the total effective rate of clinical resection between the two groups were compared before and after Glasgow coma (GCS) score and the incidence of complications. Results The effective rate of clinical resection was 92.0% in the treatment group and 89.3% in the control group, with no significant difference (P> 0.05). There was no significant difference in GCS scores between the two groups before operation (P> 0.05). After treatment, GCS scores of both groups were significantly better than before treatment, and the treatment group was better than the control group, the difference was statistically significant (P <0.05). The incidence of complications in the treatment group was 4.0%, which was significantly lower than that in the control group (20.0%, P <0.05). Conclusion The microsurgical approach of longitudinal incision in the treatment of saddle nodular meningioma clinically significant effect, can significantly reduce the incidence of injury and complications caused by patients and promote early recovery of patients.