中华医学杂志
中華醫學雜誌
중화의학잡지
National Medical Journal of China
2013年
33期
2671-2673
,共3页
胶质瘤%超声%神经外科
膠質瘤%超聲%神經外科
효질류%초성%신경외과
Glioma%Ultrasound%Neurosurgery
目的 探讨术中B超在胶质瘤手术过程中实时定位的应用价值.方法 对2010至2013年在天津市环湖医院就诊的80例胶质瘤患者术中进行B超辅助,结合术前影像学资料进行病灶的实时定位,在术中B超指导下进行肿瘤切除,并于切除后确认肿瘤残余.术后72 h复查头部强化MRI以评价切除范围.结果 所有患者在术中B超辅助下均能准确定位,72例实施了肿瘤全切,其中70例术中B超与术后复查MRI的结果完全相符,2例术后复查MRI发现肿瘤有残余；8例实施了肿瘤部分切除,7例术中B超与术后复查MRI的结果也完全相符,1例术后复查MRI发现肿瘤残余范围大于术中B超监测的范围.总体准切率可达96.2％.所有患者没有出现术中B超相关的并发症.结论 术中B超引导胶质瘤手术不仅能帮助术者设计最佳的皮层切口、入路途径和切除范围,还可以协助确认肿瘤残余,因其体积小、操作方便、检查时间短,便于在临床工作中广泛开展.
目的 探討術中B超在膠質瘤手術過程中實時定位的應用價值.方法 對2010至2013年在天津市環湖醫院就診的80例膠質瘤患者術中進行B超輔助,結閤術前影像學資料進行病竈的實時定位,在術中B超指導下進行腫瘤切除,併于切除後確認腫瘤殘餘.術後72 h複查頭部彊化MRI以評價切除範圍.結果 所有患者在術中B超輔助下均能準確定位,72例實施瞭腫瘤全切,其中70例術中B超與術後複查MRI的結果完全相符,2例術後複查MRI髮現腫瘤有殘餘；8例實施瞭腫瘤部分切除,7例術中B超與術後複查MRI的結果也完全相符,1例術後複查MRI髮現腫瘤殘餘範圍大于術中B超鑑測的範圍.總體準切率可達96.2％.所有患者沒有齣現術中B超相關的併髮癥.結論 術中B超引導膠質瘤手術不僅能幫助術者設計最佳的皮層切口、入路途徑和切除範圍,還可以協助確認腫瘤殘餘,因其體積小、操作方便、檢查時間短,便于在臨床工作中廣汎開展.
목적 탐토술중B초재효질류수술과정중실시정위적응용개치.방법 대2010지2013년재천진시배호의원취진적80례효질류환자술중진행B초보조,결합술전영상학자료진행병조적실시정위,재술중B초지도하진행종류절제,병우절제후학인종류잔여.술후72 h복사두부강화MRI이평개절제범위.결과 소유환자재술중B초보조하균능준학정위,72례실시료종류전절,기중70례술중B초여술후복사MRI적결과완전상부,2례술후복사MRI발현종류유잔여；8례실시료종류부분절제,7례술중B초여술후복사MRI적결과야완전상부,1례술후복사MRI발현종류잔여범위대우술중B초감측적범위.총체준절솔가체96.2％.소유환자몰유출현술중B초상관적병발증.결론 술중B초인도효질류수술불부능방조술자설계최가적피층절구、입로도경화절제범위,환가이협조학인종류잔여,인기체적소、조작방편、검사시간단,편우재림상공작중엄범개전.
Objective To explore the application value of real-time intraoperative ultrasound in glioma surgery.Methods A total of 80 cases of glioma were localized by intraoperative ultrasound,and their resection degree was evaluated postoperatively by magnetic resonance imaging (MRI).Results All gliomas were located precisely by real-time intraoperative ultrasound under the guidance of preoperative MRI.Among them,72 cases underwent total resection,2 cases had residual tumor on post-operative MRI.Subtotal resection was performed in 8 cases.And one of them had larger residual tumor on post-operative MRI.The accuracy rate of resection was 96.2％.There was no complication related with ultrasound.Conclusion Intraoperative ultrasound may help a neurosurgeon to locate lesions,select optimal approaches,guide operative procedures and estimate the extent of resection.Because of its small,flexible and convenient features,it will be widely used in neurosurgery.
