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《Chinese Journal of Difficult and Complicated Cases》 2017-02
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Clinical analysis of microsurgery combined with neuroendoscopy in cystic brain tumors

WU Xianliang;HUANG Qiao;JIANG Hong;DENG Zhongyong;Department of Neurosurgery,The Seventh Affiliated Hospital of Guangxi Medical University;  
Objective To investigate the clinical curative effect of microsurgery combined with neuroendoscopy on cystic brain tumor.Methods From May 2012 to April 2016,86 cases of cystic brain tumors healed in our hospital were divided into observation group and control group by coin method(43 cases in each group).Microsurgery and microsurgery Endoscopic treatment were performed in the observation group,while the control group of patients using only microsurgical treatment,comparative analysis of two groups of patients with brain tumor reseclion were performed,and according to the two groups of patients with prognosis and score to determine the effect.Results The observation group total tumor reseclion in 38cases(88.4%),which was higher than that of the control group of 30 cases(69.8%)(x~2=4.497,P0.05)(the observation group had no neurological dysfunction in 42 cases(97.7%),which was significant!) higher than the control group in36 cases(83.7%)(x~2 =4.962,P0.05),the observation group had no cerebral ischemic imaging changes in 41 cases(95.3%),which was higher than the control group in 34 cases(79.1%)(x~2 = 5.108,P 0.05).the complication rale of observation group was 4.7%.the recurrence rale was 2.3%,the fatality rale was 0,which was lower than the control group's 18.6%.14.0%,9.3%,respectively(x~2= 4.074,x~2=3.888,x~2=4.195,P0.05);The scores of Glasgow(COS) in the observation group were higher than those in the control group(U=4.58,P 0.05).Conclusion Microsurgery combined with neuroendoscopy can not only improve the rate o(total reseclion of cystic brain tumor,but also can significantly reduce the incidence of complications,recurrence and mortality.The clinical effect is remarkable.
【CateGory Index】: R739.41
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