中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2010年
5期
541-543
,共3页
李玉斌%冯继%周益民%杨大为%李宝龙%王永恒%张海垠
李玉斌%馮繼%週益民%楊大為%李寶龍%王永恆%張海垠
리옥빈%풍계%주익민%양대위%리보룡%왕영항%장해은
磁共振成像%立体定位技术%神经胶质瘤
磁共振成像%立體定位技術%神經膠質瘤
자공진성상%입체정위기술%신경효질류
Magnetic resonance imaging%Stereotaxic techniques%Glioma
目的 观察MRI导向立体定向开颅切除脑胶质瘤的临床效果.方法 应用MRI导向立体定向开颅切除脑胶质瘤9例,比较术前术后患者的神经功能变化,并随访6个月.结果 9例患者的病灶均定位精确,一次手术切除,无死亡病例.术后复查MRI提示肿瘤全切,症状改善7例,无变化1例,加重1例.随访6个月,肢体感觉运动障碍者症状均有不同程度的好转.结论 MRI导向立体定向开颅术可以对胶质瘤精确定位并确定手术切除范围,有助于提高胶质瘤的全切除率及降低手术并发症.
目的 觀察MRI導嚮立體定嚮開顱切除腦膠質瘤的臨床效果.方法 應用MRI導嚮立體定嚮開顱切除腦膠質瘤9例,比較術前術後患者的神經功能變化,併隨訪6箇月.結果 9例患者的病竈均定位精確,一次手術切除,無死亡病例.術後複查MRI提示腫瘤全切,癥狀改善7例,無變化1例,加重1例.隨訪6箇月,肢體感覺運動障礙者癥狀均有不同程度的好轉.結論 MRI導嚮立體定嚮開顱術可以對膠質瘤精確定位併確定手術切除範圍,有助于提高膠質瘤的全切除率及降低手術併髮癥.
목적 관찰MRI도향입체정향개로절제뇌효질류적림상효과.방법 응용MRI도향입체정향개로절제뇌효질류9례,비교술전술후환자적신경공능변화,병수방6개월.결과 9례환자적병조균정위정학,일차수술절제,무사망병례.술후복사MRI제시종류전절,증상개선7례,무변화1례,가중1례.수방6개월,지체감각운동장애자증상균유불동정도적호전.결론 MRI도향입체정향개로술가이대효질류정학정위병학정수술절제범위,유조우제고효질류적전절제솔급강저수술병발증.
Objective To study the therapeutic effect of MRI-guided stereotactic gliomas resection.Methods MRI-guided stereotactic gliomas resection was performed in 9 patients.The changes of nervous function were compared between pre- and post-treatment,and follow-up lasted 6 months.Results All lesions were located accurately and resected at 1 time,without death cases.MRI showed that all lesions were resected,improved condition appeared in 7 patients,no changes in 1,aggravated in 1.Varying degrees of improvements were noted in patients with limb sensory-motor impairment.Conclusion MRI-guided stereotactic craniotomy,locating gilomas accurately and determining the scope of surgical resection,contributes to improving the entire gilomas resection rate and to reducing complications.