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目的探讨分析颅内肿瘤手术过程中有效控制颅内压的临床疗效及安全性。方法选取从2004年1月至2012年6月在本院神经外科进行住院手术治疗的58例颅内肿瘤患者为研究对象。所有患者均经CT、MRI等检查,明确诊断,经过患者以及家属同意并签订手术知情同意书后,手术治疗颅内肿瘤。收集所有患者病例信息进行回顾性分析某一生理指标值。结果所有58例颅内肿瘤患者进行全部切除32例,肿瘤大部分切除18例,部分切除8例。所有患者经过积极的综合术后治疗,49例患者经手术切除后病情好转,6例患者术后恢复伤残,3例患者术后死亡。结论颅内肿瘤的患者进行手术治疗过程中颅内压均增高,故术中积极有效的控制颅内压对颅内肿瘤手术患者的术后康复具有重要意义。
Objective To analyze the clinical efficacy and safety of effective control of intracranial pressure during intracranial tumor surgery. Methods From January 2004 to June 2012 in our hospital neurosurgical surgical treatment of 58 cases of intracranial tumors were studied. All patients by CT, MRI and other tests, a clear diagnosis, after consent of patients and their families and signed a written informed consent surgery, surgical treatment of intracranial tumors. All patients were collected for retrospective analysis of a physiological index value. Results All 58 cases of patients with intracranial tumors were resected in 32 cases, most of the resection of the tumor in 18 cases, partial resection in 8 cases. All patients underwent a positive comprehensive postoperative treatment. The condition of 49 patients improved after surgery, 6 patients recovered and disabled after operation, and 3 patients died after operation. Conclusion The patients with intracranial tumors have higher intracranial pressure during surgical treatment. Therefore, the effective and effective control of intracranial pressure during intracranial tumor operation is of great significance for postoperative rehabilitation of patients with intracranial tumors.