|
|
|
| Clinical Analysis of Microsurgical Treatment of HIV Patients with Brain Tumors |
| Xu Jisheng |
| Zhengzhou Sixth People's Hospital,Zhengzhou 450000,Henan |
|
|
|
|
Abstract Objective To explore the clinical effect of microsurgery in the treatment of AIDS virus（HIV）complicated with brain tumors. Methods 60 patients with HIV and brain tumor were randomly divided into two groups with 30 cases each.The control group was treated with traditional craniotomy,and the observation group was treated with microsurgery.Compare the treatment effect of the two groups. Results The total effective rate of the observation group was higher than that of the control group.The score of the National Institutes of Health Stroke Scale（NIHSS）[（9.76±1.23）] was lower than that of the control group[（11.31±1.45）],and the score of Barthel Index（BI）[（78.79±7.45）] was higher than that of the control group [（70.54±7.23）],with statistical difference（P<0.05）;Postoperative tumor necrosis factor in observation group- α（TNF- α）[（5.14±1.05）ng/L],interleukin-6（IL-6）[（24.56±3.25）ng/L] and central nervous system specific protein（S100 β）[（8.14±1.13）mg/L] level and complication rate [6.67%（2/30）] were lower than those in the control group [（7.58±1.12）ng/L,（28.79±3.32）ng/L,（12.34±2.05）mg/L,26.67%（8/30）],with statistical difference（P<0.05）. Conclusion Microsurgery can improve the treatment effect of HIV patients with brain tumors,reduce the neurological damage,speed up the normalization of serological indicators,and have fewer complications.
|
|
Received: 03 April 2023
|
|
|
|
|
|
[1] 高海锋,宋晓瑾,董秋锋,等.立体定向靶向微创手术治疗对脑肿瘤患者围术期指标及预后的影响[J].河北医学,2020,26(10):1689-1692.
[2] 沈超,李天文,史之峰,等.床旁持续负压吸引留置术治疗颅内肿瘤术后张力性硬膜外积液的初步疗效[J].中华神经外科杂志,2021,37(6):588-590.
[3] 宁宇,代志安,张伟.神经内镜在颅底显微神经外科手术治疗脑肿瘤中的辅助作用[J].临床和实验医学杂志,2020,19(5):525-528.
[4] 王海涛. 不同时间实施颅内动脉瘤显微外科手术对患者的临床疗效及预后的影响[J].立体定向和功能性神经外科杂志,2019,32(4):202-206,210.
[5] 胡骁,马迎辉,胡胜,等.血管内栓塞术与显微外科手术在大脑中动脉瘤患者中的临床疗效及安全性研究[J].川北医学院学报,2020,35(2):287-289,316.
[6] 陶治鹤,胡伟,毛进鹏.显微手术与开颅手术治疗脑胶质瘤的临床疗效及对神经肽、MMP2和MMP9水平的影响[J].癌症进展,2020,18(3):289-292.
[7] 中华医学会感染病学分会艾滋病丙型肝炎学组,中国疾病预防与控制中心.中国艾滋病诊疗指南(2018版)[J].中华传染病杂志,2018,36(12):705-724
[8] 刘宇昊,王天男,阴鲁鑫,等.神经外科锁孔手术治疗颅内肿瘤患者的效果及对TSGF、TNF-α的影响[J].疑难病杂志,2020,19(7):678-681,685.
[9] 张俊峰,钟诚.开颅手术联合腰大池持续引流术对颅内动脉瘤患者认知功能的影响研究[J].重庆医学,2021,50(4):663-666.
[10] 刘海峰,吴静,李鹏程,等.显微外科手术治疗脑干肿瘤的疗效及对炎性因子的影响[J].中国肿瘤临床与康复,2019,26(2):133-136. |
| [1] |
Ling Duanqiang, Hou Guoxin, Liu Lei. Feasibility Analysis of 5mm Balloon Pre-dilation in the Treatment of Severe Carotid Stenosis[J]. journal1, 2024, 44(3): 11-13. |
| [2] |
. [J]. journal1, 2024, 44(3): 66-69. |
| [3] |
. [J]. journal1, 2024, 44(3): 139-141. |
| [4] |
Ma Jing, Yu lan, Li Ting, Wang Lin, Zhang Xiaolin, Li Yi. Research on AIDS Cognition of College Students in Heilongjiang Province and Adjustment of Prevention and Control Policies[J]. journal1, 2024, 44(2): 34-36. |
| [5] |
. [J]. journal1, 2024, 44(1): 103-105. |
| [6] |
Chen Tiantian. Analysis of the Efficacy and Efficiency of Intermittent Positive Pressure Ventilation Combined with Pulmonary Surfactant in the Treatment of Neonatal Respiratory Distress Syndrome[J]. journal1, 2023, 43(6): 38-40. |
|
|
|
|
2024, Vol. 44 
