[摘要] 目的 观察并比较鞍结节脑膜瘤临床治疗中采用翼点入路和额下入路的应用效果。方法 方便选取该院于2016年1月—2018年6月期间收治的61例鞍结节脑膜瘤患者为研究对象，按照患者入院时间与个人意愿，分为观察组(31例)、对照组(30例)，其中观察组患者的手术方式为额下入路，对照组患者的手术方式为翼点入路，观察并比较两组患者的临床治疗效果。 结果 观察组患者的肿瘤全切除率为87.10%，对照组患者的肿瘤全切除率为60.00%；两组数据进行对比，差异有统计学意义(χ2=5.785 2，P=0.016 10.05)。 结论 相对比翼点入路而言，额下入路治疗鞍结节脑膜瘤效果更为显著，而且不会给患者术后视力的改善造成不良干扰，此外，并发症发生率也在合理范围内，值得临床普及使用。

 [关键词] 鞍结节脑膜瘤；翼点入路；额下入路；应用效果

 [中圖分类号] R616 [文献标识码] A [文章编号] 1674-0742(2018)11(a)-0083-03

 [Abstract] Objective To observe and compare the application of pterional approach and subfrontal approach in the clinical treatment of saddle nodule meningiomas. Methods 61 patients with saddle nodule meningiomas admitted to the hospital from January 2016 to June 2018 were enrolled conveniently in the study. According to the patient's admission time and personal wishes， they were divided into observation group (31 cases) and control group (30 cases). For example， the surgical method of the patients in the observation group was the subfrontal approach， and the surgical procedure of the control group was the pterional approach. The clinical treatment effects of the two groups were observed and compared. Results The total tumor resection rate was 87.10% in the observation group and 60.00% in the control group. The data of the two groups were compared， which was statistically significant(χ2=5.785 2， P=0.016 1, 百拇医药(林茂晖 林健 刘水源) 第 1 2 页 下一页
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