Clinical study of neuroendoscope-assisted microscopes for the resection of Sellar region tumors
10.3760/cma.j.issn.1673-4904.2019.02.012
- VernacularTitle:神经内镜辅助显微镜切除鞍区肿瘤的临床研究
- Author:
Shuai ZHOU
1
;
Shengjun LI
;
Wenlong SU
;
Zhe WANG
;
Shouxian WANG
Author Information
1. 潍坊医学院临床医学院外科教研室
- Keywords:
Neuroendoscopy;
Microscope;
Saddle area occupation
- From:
Chinese Journal of Postgraduates of Medicine
2019;42(2):144-148
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the role and value of neuroendoscopy-assisted microscope technique in the operation of sellar region tumor. Methods Sixty-three cases of saddle area treated by neuroendoscopy-assisted microscopy during 2015—2017 of neurosurgery in Weifang people' s hospital (neuroendoscopy-assisted microscope technique group) were collected and analyzed. Seven-six patients with sellar area treated by simple microscopic resection from 2013 to 2015(simple microscope group) were retrospectively analyzed. Tumor resection rate, postoperative complication rate and postoperative recurrence rate, the effect of operation was compared and evaluated. Results In the neuroendoscopy-assisted microscope technique group and simple microscope group, the total resection rate of tumor was 95.24％(60/63) and 80.26％(61/76), the incidence of vasospasm was 3.17％(2/63) and 13.16％(10/76), and the incidence of nerve injury was 0(0/63) and 6.58％(5/76). There were significant differences (P<0.05). The postoperative infection, cerebrospinal fluid leakage and postoperative recurrence rate between two groups had no significant differences (P>0.05). Conclusions Endoscopic microscopically assisted resection of sellar area can not only increase the total resection rate of tumor, but also reduce the incidence of complications.
