CAJ | 학술논문

目的探讨磁共振脑表面成像技术在矢状窦旁腩膜瘤手术中的应用价值.方法分析本院经头颅CT及MRI诊断为矢状窦旁脑膜瘤,利用显微手术技术切除并经病理证实的的22例患者;术前均运用磁共振脑表面成像技术评估与肿瘤关系密切的脑表面回流静脉情况.术中根据成像结果有目的地保护重要的回流静脉,对比患者手术前后神经功能恢复状况,并进行随访来评价手术效果.结果 22例患者的术前磁共振脑表面成像中脑表面回流静脉与术中所见高度一致.术后患者恢复良好,未出现与静脉损伤相关的并发症.结论磁共振脑表面成像技术能在术前明确矢状窦旁脑膜瘤与脑表面回流静脉之间关系,可在术前对患者肿瘤表面脑回流静脉做出正确的评估,对脑表面重要回流静脉的保护提供了准确的影像学依据,对患者神经功能的保护及术后恢复起到重要作用.
목적 탐토자공진뇌표면성상기술재시상두방남막류수술중적응용개치.방법 분석본원경두로CT급MRI진단위시상두방뇌막류,이용현미수술기술절제병경병리증실적적22례환자;술전균운용자공진뇌표면성상기술평고여종류관계밀절적뇌표면회류정맥정황.술중근거성상결과유목적 지보호중요적회류정맥,대비환자수술전후신경공능회복상황,병진행수방래평개수술효과.결과 22례환자적술전자공진뇌표면성상중뇌표면회류정맥여술중소견고도일치.술후환자회복량호,미출현여정맥손상상관적병발증.결론 자공진뇌표면성상기술능재술전명학시상두방뇌막류여뇌표면회류정맥지간관계,가재술전대환자종류표면뇌회류정맥주출정학적평고,대뇌표면중요회류정맥적보호제공료준학적영상학의거,대환자신경공능적보호급술후회복기도중요작용.
Objective To investigate the application value of MR brain surface anatomy scanning in the parasagittal meningiomas operations. Methods 22 cases of parasagittal meningiomas, which diagnosed by CT and MRI preoperation, confirmed by pathology postoperation from 2006. 9 to 2008. 1 in Second Affiliated Hospital of Zhejiang University, were evaluated the ambient draining vein of the tumor by MR brain surface anatomy scanning. The key draining veins were protected during the operation according to the results of the MR brain surface anatomy scanning; the recovery of neurological function after operation was compared and the outcome of operation was evaluated by follow up. Results The draining veins, which were observed through MR brain surface anatomy scanning, were highly coincidence with the findings in the operation. No post- operative complications in nervous function was found in the patients, hence satisfying surgical outcomes were obtained. Conclusion The relationship between parasagittal meningiomas and draining veins of brain surface can be identified by MR brain surface anatomy scanning, which can evaluate the draining veins correctly and direct to protect the key draining vein, especially the draining vein in functional area of brain surface. It plays an important role in the protection of neurological function and the recovery of the postoperation.