CAJ | 학술논문

目的评价计算机辅助设计导航技术在颅底-颞下区肿瘤手术中的应用价值.方法对29例颅底-颞下区肿瘤患者行计算机辅助手术方案设计及术中导航.记录患者的年龄、性别、肿瘤原发或复发、肿瘤性质及手术入路.应用SPSS 13.0软件计算生存率.结果肿瘤完全切除20例、近全切除7例、次全切除2例；切除方式:整块切除20例、分块切除9例；切缘状态:阴性切缘8例、近肿瘤切除17例、阳性切缘4例.术后并发症发生率为14％(4/29).随访期内良性肿瘤复发2例.恶性肿瘤复发7例、转移2例、死亡3例,恶性肿瘤5年总生存率和无进展生存率分别为69％和40％.结论计算机辅助设计导航技术可提高颅底-颞下区外科操作的手术安全性.
목적 평개계산궤보조설계도항기술재로저-섭하구종류수술중적응용개치.방법 대29례로저-섭하구종류환자행계산궤보조수술방안설계급술중도항.기록환자적년령、성별、종류원발혹복발、종류성질급수술입로.응용SPSS 13.0연건계산생존솔.결과 종류완전절제20례、근전절제7례、차전절제2례；절제방식:정괴절제20례、분괴절제9례；절연상태:음성절연8례、근종류절제17례、양성절연4례.술후병발증발생솔위14％(4/29).수방기내량성종류복발2례.악성종류복발7례、전이2례、사망3례,악성종류5년총생존솔화무진전생존솔분별위69％화40％.결론 계산궤보조설계도항기술가제고로저-섭하구외과조작적수술안전성.
Objective To evaluate the application of computer-aided design and navigation technology in skull base and infratemporal fossa tumor surgery and to analyze its advantages and disadvantages.Methods Twenty-nine cases with tumor of skull base and infratemporal fossa were treated with computer-aided design and navigation surgery.The Parameters of age,gender,primary or recurrent tumor,tumor nature and surgical approach were recorded.Results En bloc resection was performed in 20 cases and subtotal resection in 9 cases.The margin status was negative margin in 8 cases,near-tumor margin in 17 cases and positive resection margin in 4 cases.Postoperative complication rate was 14％ (4/29).During the follow-up period,2 benign cases recurred.In the malignant group,there were 7 cases of recurrence,2 cases of metastasis and 3 deaths.The 5-year overall survival and progression-free survival rate were 69％ and 40％ respectively.Conclusions Navigation technology can enhance the confidence of the surgeons and operation safety in handling malignant tumors in skull base and infratemporal fossa.