CAJ | 학술논문

目的探讨术中超声造影在不同级别胶质瘤中的应用及价值.方法本研究选取2010年3月至2011年9月首都医科大学附属北京天坛医院神经外科胶质瘤患者46例.按肿瘤级别分为3组,分别行术中超声造影.结果 46例胶质瘤病人经过术中超声造影后,内部均有不同程度的强化,肿瘤边界更易分辨,不同级别的胶质瘤造影特点有所不同.结论术中超声造影有助于术中确认肿瘤方位及边界,判断肿瘤切除程度,初步判断肿瘤级别,有效提高肿瘤切除率.对于Ⅳ级,内部伴囊变坏死,瘤边水肿明显的胶质瘤,造影效果更佳.
목적 탐토술중초성조영재불동급별효질류중적응용급개치.방법 본연구선취2010년3월지2011년9월수도의과대학부속북경천단의원신경외과효질류환자46례.안종류급별분위3조,분별행술중초성조영.결과 46례효질류병인경과술중초성조영후,내부균유불동정도적강화,종류변계경역분변,불동급별적효질류조영특점유소불동.결론 술중초성조영유조우술중학인종류방위급변계,판단종류절제정도,초보판단종류급별,유효제고종류절제솔.대우Ⅳ급,내부반낭변배사,류변수종명현적효질류,조영효과경가.
Objective To explore the feasibility and value of intra-operative contrast-enhanced ultrasound in different pathological grades of glioma.Methods A total of 46 patients with glioma were selected to undergo the contrast-enhanced ultrasound.They were divided into 3 groups according to their pathological grades.Results All 46 tumors were hyperechoic after examinations and the borders became much more distinct. Different level of tumors had their representative ultrasonic findings. Conclusions Intraoperative contrast-enhanced ultrasound is quite useful for determining the position and border of tumors.And it is also excellent in detecting the residual tumor tissues post-operatively. And it can improve the resection accuracy and operative precision,especially for Grade Ⅳ glioma with internal necrosis,cyst and surrounding brain edema.