The Comparative Study Of Microsurgical And Gamma Knife Stereotactic Radiotherapy In The Treatment Of Cavernous Hemangioma Of The Temporal Lobe

Objective:To evaluate the efficacy and complications of microsurgery and GK stereotactic radiotherapy in the treatment of CCMs of the temporal lobe.Methods:To collect 80 patients with cavernous hemangioma of the temporal lobe treated in the First Affiliated Hospital of Guangxi Medical University from 2002.10 to 2016.3. Among them,37 patients were treated by microsurgical operation as operation group,43 cases were treated by gamma knife stereotactic radiotherapy as GK group. The efficacy and complications of the two groups were statistically analyzed.Results:The improved Engel classification was used to evaluate the effect of epilepsy control.Set the improved Engel grade I, II for the treatment of effective, grade â…¢,â…£ for the treatment is invalid,the effective rate was 93.3% (14/15) in the operation group., gamma knife group was 52.2%(12/23), the effective rate of treatment group difference significant (P=0.012);There was no re bleeding after treatment in the operation group, the rate of re bleeding after treatment was 26.7%(4/15), and the difference was significant between the two groups (P=0.043);Surgery group had complete resection of lesions, the control rate of lesion size was 87.5%(35/40), and the reduction rate was 35%(14/40); For the surgery group, the complication rate was 34.3%(12/35), gamma knife group was 42.5%(17/40), and no significant difference between the two groups (P=0.531).Conclusion:Microsurgery and gamma knife stereotactic radiotherapy can control epilepsy caused by cavernous hemangioma of the temporal lobe; The effectiveness of microsurgical treatment of epilepsy was higher than that of GK stereotactic radiotherapy; Microsurgical treatment of rebleeding rate was significantly lower than that of GK stereotactic radiotherapy; The control rate and reduction rate of the size of the lesion were significantly higher than that of the GK stereotactic radiotherapy; There was no significant difference in the incidence of postoperative complications between microsurgery treatment and GK stereotactic radiotherapy.