CAJ | 학술논문

目的探讨显微镜下神经导航系统在颅底肿瘤手术中的应用.方法回顾性分析郑州大学附属肿瘤医院神经外科于2010年9月至2011年11月应用显微镜下持续导航引导进行前、中颅底切除术的33例患者的临床资料.结果用显微镜下神经导航系统进行颅底肿瘤及其周围解剖结构定位准确,平均注册误差(1.47±0.46)mm.术后近期复查,CT或MRI证实肿瘤全切27例(81.8％),次全切除4例(12.1％),大部切除2例(6.1％).结论显微镜下持续导航切除颅底肿瘤能实时反馈肿瘤的切除深度,增加手术的安全性,加快手术进程,避免脑重要结构的副损伤.
목적 탐토현미경하신경도항계통재로저종류수술중적응용.방법 회고성분석정주대학부속종류의원신경외과우2010년9월지2011년11월응용현미경하지속도항인도진행전、중로저절제술적33례환자적림상자료.결과 용현미경하신경도항계통진행로저종류급기주위해부결구정위준학,평균주책오차(1.47±0.46)mm.술후근기복사,CT혹MRI증실종류전절27례(81.8％),차전절제4례(12.1％),대부절제2례(6.1％).결론 현미경하지속도항절제로저종류능실시반궤종류적절제심도,증가수술적안전성,가쾌수술진정,피면뇌중요결구적부손상.
Objective To investigate the application of neuronavigation under microscope in surgery of skull base neoplasm.Methods The clinical data of 33 patients with skull base neoplasm undergoing intraoperative microscope positioning device neuronavigation from September 2009 to November 2011 were retrospectively analyzed.Results The tumors and the surrounding structures were located accurately with mean registration error(1.47 ±0.46)mm.Among the 33 cases,total resection of tumor was achieved in 27 cases (81.8％),subtotal resection in 4 cases (12.1％) and partial resection in 2 cases (6.1％).Conclusions The application of microscope positioning device neuronavigation in skull base approach can offer the feedback of the location and depth of manipulation,so as to enhance the security,decrease the surgical time and reduce the harm of brain tissue.