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Analysis of surgical treatment strategies of petroclival region tumors / 中华外科杂志
Chinese Journal of Surgery ; (12): 1225-1228, 2010.
Artículo en Chino | WPRIM | ID: wpr-360695
ABSTRACT
<p><b>OBJECTIVE</b>To explore the surgical strategy of the tumors of petroclival region.</p><p><b>METHODS</b>The surgical data of 55 cases presented with meningioma and trigeminal nerve sheath tumors from January 2002 to February 2009 was retrospectively analyzed. All the cases were divided into full-cut group, sub-total resection group, part of resection group or divided into full-cut group and no-total resection group, in terms of various surgical strategy. The incidence of postoperative neurological disorder and quality of life status were focused and statistical analysis was carried out.</p><p><b>RESULTS</b>There were 21 patients with complete cut, 22 patients with sub-total resection and 12 patients with part of resection. There were 12 patients with neurological deterioration in full-cut group and 10 patients in no-total resection group. There was significant difference between total resection group and no-total resection group (χ(2) = 4.16, P < 0.05). All the patients were assessed based on the criterion of KPS, 12 patients of full-cut whose KPS ≥ 80, 29 patients were the same in no-total resection group. There was significant difference between the two groups (χ(2) = 5.42, P < 0.05). The mean follow-up time was 3 years. No recurrence was found in full-cut group and 5 recurrence of no-total resection group.</p><p><b>CONCLUSIONS</b>The pursuit of full-cut for the tumors of petroclival region may result in serious neurological dysfunction and poor life quality after the operation. Non-full-cut combination of postoperative radiotherapy may receive a relative better results.</p>
Asunto(s)
Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Cirugía General / Nervio Trigémino / Estudios Retrospectivos / Estudios de Seguimiento / Resultado del Tratamiento / Neoplasias Meníngeas / Meningioma / Neurilemoma Tipo de estudio: Estudio observacional / Estudio pronóstico Límite: Adulto / Anciano / Femenino / Humanos / Masculino Idioma: Chino Revista: Chinese Journal of Surgery Año: 2010 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Cirugía General / Nervio Trigémino / Estudios Retrospectivos / Estudios de Seguimiento / Resultado del Tratamiento / Neoplasias Meníngeas / Meningioma / Neurilemoma Tipo de estudio: Estudio observacional / Estudio pronóstico Límite: Adulto / Anciano / Femenino / Humanos / Masculino Idioma: Chino Revista: Chinese Journal of Surgery Año: 2010 Tipo del documento: Artículo