■在三叉神经痛伴小岩尖脑膜瘤患者中,显微手术切除(SR)和立体定向伽玛刀放射外科(GKRS)的结果数据很少。
■我们进行了这项研究,以评估疼痛的缓解,肿瘤控制,使用我们埃及中心的实际数据,对小岩壁脑膜瘤(最大直径小于3厘米)进行SR和GKRS的手术成本。
■我们对47例伴有顽固性三叉神经疼痛的小岩尖脑膜瘤患者进行了回顾性队列研究(SR:n=22和GKRS:n=25)。关于巴罗神经研究所(BNI)疼痛缓解的数据,程序成本,使用适当的统计检验检索和分析肿瘤对照。
接受SR的患者与接受GKRS的患者相比,BNI疼痛强度评分中位数较低,与GKRS组相比,SR组BNI评分良好的患者比例明显更高(P<0.05);SR的总成本明显低于GKRS(30,519美元与92,372美元,分别)。
■SR和GKRS均可缓解与岩尖脑膜瘤相关的三叉神经痛患者的疼痛和肿瘤控制。然而,在本研究中,SR实现了更好的疼痛控制,比GKRS更实惠。
UNASSIGNED: Data on the outcomes of microsurgical resection (SR) and stereotactic gamma knife radiosurgery (GKRS) in patients with trigeminal neuralgia associated with small petrous apex meningiomas are scarce.
UNASSIGNED: We conducted this
study to evaluate the pain relief, tumor control, and procedure costs following SR and GKRS for small petroclival meningiomas (less than 3 cm in maximal diameter) using real-world data from our center in Egypt.
UNASSIGNED: We conducted a retrospective cohort
study of 47 patients with small petrous apex meningiomas presenting with intractable trigeminal nerve pain (SR: n = 22 and GKRS: n = 25). Data regarding pain relief on Barrow Neurological Institute (BNI), procedure cost, and tumor control were retrieved and analyzed using appropriate statistical tests.
UNASSIGNED: Patients who underwent SR had lower median BNI pain intensity scores compared to those patients who underwent GKRS, and a significantly higher proportion of patients in the SR group had good BNI scores compared to those in GKRS group (P < 0.05); however, the total costs of SR were significantly less than GKRS (30,519$ vs. 92,372$, respectively).
UNASSIGNED: Both SR and GKRS provide pain relief and tumor control in patients with trigeminal neuralgia associated with petrous apex meningioma. However, in the present
study, SR achieved better pain control and was more affordable than GKRS.