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目的探讨显微手术治疗脑胶质瘤的临床疗效。方法采用显微外科肿瘤切除术对87例脑胶质瘤患者进行治疗观察,其中行肿瘤全切除术50例,次全切除或大部切除术29例,部分切除术8例。结果 87例脑胶质瘤患者经显微手术治疗后,显效51例、有效32例、无效4例,总有效率95.4%。83例有效患者术后随访6个月至2年,其中能正常工作及生活38例,生活能自理19例,生活不能自理12例,复发14例,复发率16.9%。结论显微手术治疗脑胶质瘤的疗效显著,能较好地保留重要的神经血管功能,对脑组织的损伤较小,从而有效降低了复发率和死亡率,术后患者恢复良好,生活质量明显提高,值得临床推广。
Objective To investigate the clinical effect of microsurgical treatment of glioma. Methods Eighty - seven patients with glioma were treated with microsurgical tumor resection. Among them, 50 cases were treated with total tumor resection, 29 cases were treated with subtotal or partial resection, and 8 cases were partially resected. Results 87 cases of glioma patients after microsurgical treatment, markedly effective in 51 cases, effective in 32 cases, 4 cases, the total effective rate was 95.4%. 83 cases of effective patients were followed up for 6 months to 2 years, of which 38 cases can work and live normally, 19 cases can take care of themselves, 12 cases can not take care of themselves, and 14 cases recurred. The recurrence rate was 16.9%. Conclusions The microsurgical treatment of glioma has significant curative effect, can well retain important neurovascular functions, and has less damage to brain tissue, thus effectively reducing the recurrence rate and mortality rate. The postoperative patients recover well and the quality of life Significantly improved, it is worth clinical promotion.