CAJ | 학술논문

目的：探讨如何在中央区胶质瘤的手术中保护神经功能。方法分析我科2010年1月至2012年10月手术治疗的38例中央区胶质瘤。38例患者均在手术中使用皮层诱发电位监测定位中央前后回，其中25例以神经导航定位肿瘤。结果肿瘤全切32例，6例大部切除。术后功能良好18例，5例较术前未见加重，15例偏瘫加重，其中2例完全瘫痪，但这15例手术后2～6周功能均有不同程度恢复，术后半年随访无完全瘫痪。结论在神经导航和皮层诱发电位监测下，可以在手术中准确定位中央区皮层和肿瘤的位置，使得手术避免直接损伤功能区皮层，有效地保护了患者的神经功能。
목적：탐토여하재중앙구효질류적수술중보호신경공능。방법분석아과2010년1월지2012년10월수술치료적38례중앙구효질류。38례환자균재수술중사용피층유발전위감측정위중앙전후회，기중25례이신경도항정위종류。결과종류전절32례，6례대부절제。술후공능량호18례，5례교술전미견가중，15례편탄가중，기중2례완전탄탄，단저15례수술후2～6주공능균유불동정도회복，술후반년수방무완전탄탄。결론재신경도항화피층유발전위감측하，가이재수술중준학정위중앙구피층화종류적위치，사득수술피면직접손상공능구피층，유효지보호료환자적신경공능。
Objective To explore how to protect the neuro function of the patient of glioma in central area during operation .Methods 38 patients of glioma in centra area were operated in our department .All patients were underwent evoked potential monitoring during surgery to locate central area.We used neuronavigation to locate the tumor .Results Of 38 patients,32 were totally removed ,6 subtotally removed .After operation, 18 patients had no neurological defect ,5 had no deterioration , while 15 aggravated .These 15 patients improved progressively after discharge and had no fully paralysis half a year later .Conclusion We can protect the central area during operation by using evoked potential monitor to locate the central area and using neuronavigation to locate the tumor .