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目的探讨神经内镜辅以显微手术治疗颅内囊性肿瘤的临床疗效及安全性。方法选取2012年1月至2014年10月间四川省遂宁市中心医院收治的60例颅内囊性肿瘤患者,采用随机数字表法分为观察组和对照组,每组30例。观察组患者采用神经内镜辅以显微手术,对照组患者采用显微手术。比较两组手术治疗的临床疗效。结果观察组患者全切除率与对照组比较明显增高,差异有统计学意义(P<0.05)。两组患者并发症、复发率和死亡率比较,差异均无统计学意义(均P>0.05)。结论神经内镜辅以显微手术治疗颅内囊性肿瘤疗效显著,能够切除显微镜死角的残余肿瘤病灶,避免不必要的神经功能损伤,提高手术治疗的安全性。
Objective To investigate the clinical efficacy and safety of neuroendoscope assisted by microsurgical treatment of intracranial cystic tumors. Methods Sixty patients with intracranial cystic tumors who were treated in Central Hospital of Suining City, Sichuan Province from January 2012 to October 2014 were selected and randomly divided into observation group and control group with 30 cases in each group. The patients in the observation group were treated with neuroendoscope assisted by microsurgery and the control group with microsurgery. The clinical efficacy of the two groups were compared. Results The total resection rate of the observation group was significantly higher than that of the control group, the difference was statistically significant (P <0.05). There was no significant difference in complication, recurrence rate and mortality between the two groups (all P> 0.05). Conclusion Neuroendoscope assisted by microsurgical treatment of intracranial cystic tumor has significant curative effect. It can remove the residual tumor lesion in the dead angle of the microscope, avoid unnecessary neurological damage and improve the safety of surgical treatment.