CAJ | 학술논문

目的：探讨电磁影像导航系统在神经外科手术中的应用价值。方法应用Compass电磁影像导航系统辅助显微外科手术治疗颅内病变100例，并对导航系统在手术中定位的准确性，使用的安全性和术后治疗效果进行评估。结果导航平均注册误差（1.77±0.84）mm，术中均能准确定位病灶，系统运行良好，无导航系统相关不良事件发生。病灶全切74例，次全切17例，脓肿准确穿刺完全引流5例，血肿完全引流2例，活检2例。术后神经功能未受明显影响，无手术并发症及死亡。结论电磁影像导航系统能准确引导定位颅内病灶，有助于减少手术创伤，提高手术效果,降低死亡率、病残率，而且使用安全，可靠，是微侵袭神经外科手术的重要辅助工具。
목적：탐토전자영상도항계통재신경외과수술중적응용개치。방법응용Compass전자영상도항계통보조현미외과수술치료로내병변100례，병대도항계통재수술중정위적준학성，사용적안전성화술후치료효과진행평고。결과도항평균주책오차（1.77±0.84）mm，술중균능준학정위병조，계통운행량호，무도항계통상관불량사건발생。병조전절74례，차전절17례，농종준학천자완전인류5례，혈종완전인류2례，활검2례。술후신경공능미수명현영향，무수술병발증급사망。결론전자영상도항계통능준학인도정위로내병조，유조우감소수술창상，제고수술효과,강저사망솔、병잔솔，이차사용안전，가고，시미침습신경외과수술적중요보조공구。
Objective To investigate the feasibility of electromagnetic neuronavigation in routine clinical practice. Methods Electromagnetic neuronavigation was performed in 100 cases. The operational accuracy, security and reliability was evaluated. Results The surgical procedures were successful in all cases. The procedure -related morbidity and mortality rate in the series was zero. Neuronavigated image guidance was evaluated as useful in all patients. The tu-mors and the surrounding structures were located accurately with the mean registration error (1.77±0.84)mm. Total resection was achieved in 74 cases, and subtotal resection in 17 cases. Five cases with abscess, 2 cases with hematoma were treated with puncture and drainage, and 2 patients were treated with biopsy. The postoperative neurological functions was not sig-nificantly affected. No morbidity and mortality attributed to the use of neuronavigation system. Conclusion Electromag-netic neuronavigation is safe and reliable , accurate for surgery, and may ultimately reduce complications and improve outcome. It is helpful in minimal invasive neurosurgery.