神经内镜辅助后颅窝显微神经外科手术治疗脑肿瘤患者的有效性及安全性分析

目的评价神经内镜辅助后颅窝显微神经外科手术治疗脑肿瘤患者的有效性及安全性。方法将2018年2月-2019年11月接受住院治疗的96例脑肿瘤患者,采用随机数字表法均分成两组,对照组患者进行常规后颅窝显微手术治疗,观察组患者采取神经内镜辅助后颅窝显微神经外科手术治疗,比较两组患者治疗前后炎性因子水平、NIHSS及ADL评分、肿瘤切除率及治疗后并发症发生情况。结果观察组患者的IL-6、TNF-α及S100β水平、NIHSS评分、术后并发症发生率均低于对照组,且观察组患者的ADL评分及肿瘤切除率均高于对照组,差异均具有显著统计学意义(均P<0.05)。结论神经内镜辅助后颅窝显微神经外科手术治疗效果良好,可有效降低患者炎性因子水平,恢复神经功能,降低并发症发生率,提高肿瘤切除率,促进患者快速康复。

Effectiveness and Safety of Neuroendoscopy Assisted Posterior Cranial Fossa Microneurosurgical Treatment on Patients with Brain Tumors

Objective To evaluate the effectiveness and safety of neuroendoscopy assisted posterior cranial fossa microneurosurgical treatment on patients with brain tumors.Methods A total of 96 patients with brain tumors who were treated in the our hospital from February 2018 to November 2019 were randomly divided into two groups according to random number table method.The patients in the control group were given conventional posterior cranial fossa microscopy treatment,and the patients in the observation group were given neuroendoscopy assisted with posterior cranial fossa microneurosurgical treatment.Then the levels of inflammatory factors,national institute of health stroke scale,activities of daily living,tumor resection rate and complications of the two groups were compared.Results The levels of IL-6、TNF-αand S100β,and NIHSS scores,and the incidence of postoperative complications in the observation group were lower than those in the control group.The ADL score and tumor resection rate of the observation group were higher than those of the control group,and the differences were statistically significant(all P<0.05).Conclusions Neuroendoscopy assisted with posterior cranial fossa microneurosurgical treatment has obvious curative effect,which can effectively reduce inflammatory factor levels,restore nerve function,reduce the incidence of complications,improve resection rate and promote rapid recovery of patients.