Zhang Peng, Zhang Lingdang, Zhao Rui
Peng Zhang, Attending Physician. Department of Neurosurgery, Chongqing Three Gorges Central Hospital, 165 Xincheng Road, Wanzhou District, Chongqing, 404100, China.
Lingdang Zhang, Attending Physician. Department of Neurosurgery, Chongqing Three Gorges Central Hospital, 165 Xincheng Road, Wanzhou District, Chongqing, 404100, China.
Pak J Med Sci. 2021;37(6):1600-1604. doi: 10.12669/pjms.37.6-WIT.4850.
The paper applies spatial fuzzy clustering algorithm to explore the role and value of neuroendoscopic assisted technology in the operation of tumors in the saddle region, and analyze the MRI image characteristics of tumors in the saddle region.
The clinical data of 63 patients from our hospital who underwent neuroendoscopic assisted microscopy to remove tumors in the saddle area from 2017 to 2019 (neuroendoscopy-assisted group) were collected. Seventy six patients who occupied the saddle area by microscopic resection only in the same period (Simple microscope group) clinical data. By comparing the patient's tumor resection rate, postoperative complication rate and postoperative recurrence rate, the surgical effect was evaluated.
The total resection rates of the tumors in the neuroendoscopy-assisted group and the microscope-only group were 95.24% (60/63) and 80.26% (61/76). The incidence of postoperative vasospasm was 3.17% (2/63) and 13.16% (10/76), the incidence of nerve injury was 0 (0/63) and 6.58% (5/76), the difference was statistically significant (P <0.05). There was no significant difference in the incidence of postoperative infection, cerebrospinal fluid leakage and postoperative recurrence rate between the two groups (P> 0.05).
Neuroendoscopy-assisted microscopy-based removal of the saddle area occupying space based on spatial fuzzy clustering algorithm can increase the total tumor resection rate and reduce the incidence of complications.
应用空间模糊聚类算法探讨神经内镜辅助技术在鞍区肿瘤手术中的作用及价值,并分析鞍区肿瘤的MRI图像特征。
收集我院2017年至2019年63例行神经内镜辅助显微镜下切除鞍区肿瘤患者(神经内镜辅助组)的临床资料。同期单纯显微镜下切除鞍区占位的76例患者(单纯显微镜组)临床资料。通过比较患者肿瘤切除率、术后并发症发生率及术后复发率,评估手术效果。
神经内镜辅助组与单纯显微镜组肿瘤全切除率分别为95.24%(60/63)和80.26%(61/76)。术后血管痉挛发生率分别为3.17%(2/63)和13.16%(10/76),神经损伤发生率分别为0(0/63)和6.58%(5/76),差异有统计学意义(P<0.05)。两组术后感染、脑脊液漏发生率及术后复发率比较,差异无统计学意义(P>0.05)。
基于空间模糊聚类算法的神经内镜辅助显微镜下切除鞍区占位可提高肿瘤全切除率,降低并发症发生率。