目的:探讨鞍区肿瘤的临床特点、手术治疗及效果。方法:回顾性分析85例接受手术的鞍区肿瘤患者的临床资料。结果:全切73例,次全切8例,大部切除4例,术后死亡1例,随访76例3个月～2年,复发或残留生长5例,4例接受γ刀治疗,1例再次手术。结论:鞍区肿瘤的发病率高,种类多样,临床表现复杂,根据肿瘤的特点选择合适的手术方式是提高切除率和改善预后的关键。
ObjectiveTo investigate the effects of large trauma craniotomy on severe traumatic brain injury. MethodsA total of 132 cases of severe traumatic brain injury adopted large trauma craniotomy between July 2008 and August 2013, and the clinical data were retrospectively analyzed. ResultsAccording to the results of GOS assessment at discharge, 67 patients (50.75%) were satisfied, 26 (19.70%) were mildly disable, 10 (7.58%) were severely disable, 12 (9.09%) were in vegetative state, and 17 (12.88%) were dead. ConclusionCorrect use of large trauma craniotomy on severe brain injury cases will help to improve the treatment outcome, reduce complications and improve quality of survival.