神经导航技术在脑膜瘤显微手术85例中的应用研究
신경도항기술재뇌막류현미수술85례중적응용연구
Neuronavigation guided microsurgery for meningioma：report of 85 cases
  • 万方数据
    山西医药杂志 산서의약잡지
    SHANXI MEDICAL JOURNAL
    2013年 18期 980-982 ,共3页

    龚良%钱忠心%刘卫东%赵鸿%朱景伟%赵明珠%刘向阳%叶树铭%丁勇%尹成%郑佳佳

    공량%전충심%류위동%조홍%주경위%조명주%류향양%협수명%정용%윤성%정가가

    脑膜瘤%神经导航%显微外科手术 腦膜瘤%神經導航%顯微外科手術
    뇌막류%신경도항%현미외과수술
    Meningioma%Neuronavigation%Microsurgery
    目的探讨神经导航技术在脑膜瘤显微手术中的应用价值。方法回顾性分析85例应用神经导航手术操作系统进行显微外科治疗的脑膜瘤患者的临床资料。本组针对不同类型的脑膜瘤，应用神经导航系统设计个体化的手术入路，术中应用显微外科技术，避免损伤重要结构，进行有效的肿瘤切除。结果 SimpsonⅠ级切除38例（45％）；Ⅱ级切除26例（30％）；Ⅲ级切除21例（25％）；术后早期并发症发生率4％（包括脑内血肿2例，中动脉区梗死1例）；术后随访3个月至2年，均行神经系统检查和头颅M RI检查，遗留严重神经功能缺损2例（2％）；2年内复发2例（2％），均为天幕脑膜瘤（内侧型），随访期间无一例患者死亡。结论应用神经导航显微手术切除脑膜瘤定位准确可靠，可提高手术的准确性，减少术中的盲目性。
    목적탐토신경도항기술재뇌막류현미수술중적응용개치。방법회고성분석85례응용신경도항수술조작계통진행현미외과치료적뇌막류환자적림상자료。본조침대불동류형적뇌막류，응용신경도항계통설계개체화적수술입로，술중응용현미외과기술，피면손상중요결구，진행유효적종류절제。결과 SimpsonⅠ급절제38례（45％）；Ⅱ급절제26례（30％）；Ⅲ급절제21례（25％）；술후조기병발증발생솔4％（포괄뇌내혈종2례，중동맥구경사1례）；술후수방3개월지2년，균행신경계통검사화두로M RI검사，유류엄중신경공능결손2례（2％）；2년내복발2례（2％），균위천막뇌막류（내측형），수방기간무일례환자사망。결론응용신경도항현미수술절제뇌막류정위준학가고，가제고수술적준학성，감소술중적맹목성。
    Objective To explore the clinical application of the neuronavigation system in the treatment of meningioma .Methods Clinical data of 85 patients with meningioma ,who received neuronavigation guided micro-surgery ,were retrospectively analyzed .Individualized approach was chosen to treat different kinds of lesion by neuronavigation system .Tumor was resected effectively by using microsurgical techniques without damage to im-portant structures .Results Simpson Ⅰ ,Ⅱ ,Ⅲ grade removal was achieved in 38 ,26 and 21 cases ,respectively . The patients were followed up from 3 months to 2 years ,with tumor subtotally removed in 2 patients of recur-rence .Conclusion By using individualized surgical approach according to the data of preoperative images and by means of skillful microsurgical technique ,the majority of meningiomas can be successfully removed .
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