Effect of dynamic traction technique on postoperative complications, stress response and neurological function recovery in patients with petroclival meningioma undergoing microscopic resection
10.3760/cma.j.cn115455-20201201-01710
- VernacularTitle:动态牵拉技术对岩斜区脑膜瘤显微切除术患者术后并发症、应激反应及神经功能恢复的影响
- Author:
Minghuo HUANG
1
;
Jie LUO
;
Zhitian SHENG
Author Information
1. 黄冈市中心医院神经外科，黄冈 438000
- Keywords:
Meningioma;
Microsurgery;
Postoperative complications;
Petroclival region;
Dynamic traction;
Automatic retractor
- From:
Chinese Journal of Postgraduates of Medicine
2022;45(1):66-70
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of dynamic traction technique on postoperative complications, stress response and neurological function recovery in patients with petroclival meningioma undergoing microscopic resection.Methods:The clinical data of 80 patients with petroclival meningioma in Huanggang Central Hospital of Hubei Province from January 2017 to December 2019 were retrospectively analyzed. Among them, 38 cases were treated with automatic retractor technique (automatic traction group), and 42 cases were treated with dynamic traction technique (dynamic traction group). The operation time, postoperative hospital stay, postoperative complications of brain traction injury and the degree of Simpson tumor resection were compared between 2 groups. The levels of serum stress indexes before and after operation were detected, including C-reactive protein (CRP), interleukin-6 (IL-6) and white blood cell count (WBC). Karnofsky performance status (KPS) score was performed 6 months after operation, and the recovery rate of neurological function (KPS score≥80) and recurrence rate were counted.Results:There were no significant differences in operation time, postoperative hospital stay and the degree of Simpson tumor resection between 2 groups ( P>0.05). The incidence of postoperative complications of brain traction injury in dynamic traction group was significantly lower than that in automatic traction group: 4.76% (2/42) vs. 21.05% (8/38), the recovery rate of neurological function 6 months after operation was significantly higher than that in automatic traction group: 83.33% (35/42) vs. 39.47% (15/38), and there were statistical differences ( P<0.05 or<0.01). The serum CRP, IL-6 and WBC in dynamic traction group were significantly lower than those in automatic traction group: (24.11±5.86) mg/L vs. (28.42±5.94) mg/L, (10.52±2.29) pg/L vs. (12.45±2.46) pg/L and (9.24±2.43) ×10 9/L vs. (10.84±2.38) ×10 9/L, and there were statistical differences ( P<0.01). No recurrence was found in both groups. Conclusions:Dynamic traction technique in microscopic resection of petroclival meningioma can effectively reduce the postoperative complications of brain traction injury, reduce surgical stress, promote the recovery of neurological function, and improve the prognosis of patients.
