CAJ | 학술논문

目的：探讨颅内肿瘤诊断中超声造影的应用价值。方法选取我院自2012年9月至2013年9月收治的76例颅内血管疾病患者为研究对象，在超声造影指导下完成手术，分析评价手术效果。结果手术后1周对患者行CT或MRI，提示76例患者肿瘤全切除63例，占82.9%；有13例患者因肿瘤边缘位于重要功能区采取了次全切除；病理诊断：其中胶质瘤患者共65例，Ⅰ~Ⅱ级星形细胞瘤、少突胶质细胞瘤以及间变型星形细胞瘤、胶质母细胞瘤分别为14例、14例、25例、12例，脑转移癌11例；声像图特征：声像图能够较为准确地显示患者肿瘤的位置、边界、内部血管包括和邻近血管存在的毗邻的关系还有肿瘤血流灌注情况。结论术中超声造影辅助能够准确定位颅内肿瘤，帮助术者确定病变边界，精确指导手术，便于及时发现和清除病灶残留，具有较高的应用价值。
목적：탐토로내종류진단중초성조영적응용개치。방법선취아원자2012년9월지2013년9월수치적76례로내혈관질병환자위연구대상，재초성조영지도하완성수술，분석평개수술효과。결과수술후1주대환자행CT혹MRI，제시76례환자종류전절제63례，점82.9%；유13례환자인종류변연위우중요공능구채취료차전절제；병리진단：기중효질류환자공65례，Ⅰ~Ⅱ급성형세포류、소돌효질세포류이급간변형성형세포류、효질모세포류분별위14례、14례、25례、12례，뇌전이암11례；성상도특정：성상도능구교위준학지현시환자종류적위치、변계、내부혈관포괄화린근혈관존재적비린적관계환유종류혈류관주정황。결론술중초성조영보조능구준학정위로내종류，방조술자학정병변변계，정학지도수술，편우급시발현화청제병조잔류，구유교고적응용개치。
Objective Explore the application value of contrast-enhanced ultrasonography in the diagnosis of intracranial tumors. Methods Select the hospital from September 2012 to September 2013 treating 76 patients with intracranial vascular diseases for the study, under the guidance of ultrasound contrast in performing the operation. Results After surgery a week on patients line CT or MRI, tips 76 cases patients tumor full resection 63 cases, accounted for 82.9%;13 cases patients due to tumor edge is located in important features district take has times full resection;pathology diagnosis:which glial tumor patients total 65 cases,Ⅰ-Ⅱlevel stars shaped cell tumor, and less bursting glial cell tumor and between variant stars shaped cell tumor, and glial parent cell tumor respectively for 14 cases, 14 cases, 25 cases, 12 cases, brain transfer cancer 11 cases. Conclusion Contrast-enhanced ultrasound in intracranial tumors secondary to accurately locate and help determine lesion borders, is of high value.