Abstract
Objective: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.Methods: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.Results: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).Conclusion: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.
Highlights
The reasonable use of endoscope-assisted microscope can reduce trauma and effectively improve the rate of total tumor resection
The comparison of the efficacy of neuroendoscopic assisted surgery and simple microsurgery is relatively small, especially total tumor resection., The incidence of postoperative complications and postoperative recurrence rates are lacking in comprehensive research
All 139 patients in the group were from patients with tumors in the saddle area that were removed by the same surgeon
Summary
The reasonable use of endoscope-assisted microscope can reduce trauma and effectively improve the rate of total tumor resection. The comparison of the efficacy of neuroendoscopic assisted surgery and simple microsurgery is relatively small, especially total tumor resection., The incidence of postoperative complications and postoperative recurrence rates are lacking in comprehensive research. We collected the clinical data of 63 patients who underwent neuroendoscopic assisted microscopy to remove tumors in the saddle area in our hospital from 2015 to 2017, and the clinical data of 76 patients who. Pak J Med Sci September 2021 (Speical Issue Online) Vol 37 No 6 www.pjms.org.pk 1600 occupied the saddle area by microscope removal from 2013 to 2015 A systematic and comprehensive controlled study of neuroendoscopy-assisted and conventional microsurgery for the treatment of saddle space occupying is reported below.[1,2]
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