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目的探讨伽马刀治疗海绵窦海绵状血管瘤患者的远期疗效。方法选取2009年1月至2014年1月长春市第二医院收治的81例海绵窦海绵状血管瘤患者作为研究对象,按随机数字表法将其分为观察组(41例)和对照组(40例)。观察组患者采用伽玛刀进行治疗,对照组患者给予显微手术治疗,比较两组患者的临床疗效、并发症及出血事件发生情况。结果两组患者治疗的总有效率差异无统计学意义(P>0.05);随访12~36个月,观察组患者的并发症和出血事件发生率均明显低于对照组,差异均有统计学意义(均P<0.05)。结论伽马刀治疗海绵窦海绵状血管瘤患者远期治疗效果良好,可有效降低并发症和出血事件的发生。
Objective To investigate the long-term efficacy of gamma knife in the treatment of cavernous sinus cavernous hemangioma. Methods A total of 81 patients with cavernous sinus cavernous hemangioma admitted to the Second Hospital of Changchun City from January 2009 to January 2014 were selected as subjects and divided into observation group (n = 41) and control group (n = 40 cases). The patients in the observation group were treated with Gamma Knife. The patients in the control group were given microsurgical treatment. The clinical efficacy, complications and the occurrence of bleeding events were compared between the two groups. Results There was no significant difference in the total effective rate between the two groups (P> 0.05). During the follow-up of 12 to 36 months, the incidences of complications and bleeding in the observation group were significantly lower than those in the control group Significance (all P <0.05). Conclusion Gamma knife treatment of cavernous sinus cavernous hemangioma in patients with long-term treatment effect is good, can effectively reduce the incidence of complications and bleeding.