CAJ | 학술논문

目的术中超声(IOUS)监测显微外科手术切除脑室内病变的过程,探讨IOUS在神经外科脑室内手术中的应用价值.方法 2009年3月至2012年12月期间,对神经外科住院的80例经CT和(或)MRI诊断为脑室内占位性病变而行手术治疗的患者进行IOUS检查,并监测手术全过程.结果 80例脑室内占位性病变IOUS均清晰显示病灶,其IOUS表现各具特点.结论 IOUS能准确识别病灶并精确定位,提供实时的术中影像信息,有效指导手术路径、监测手术过程,避免对周围重要结构及大血管的损伤,有助于提高神经外科深部手术的精确性和安全性,还可在一定程度上减少术中出血量、缩短手术时间,提高手术全切率,减少术后并发症.
목적 술중초성(IOUS)감측현미외과수술절제뇌실내병변적과정,탐토IOUS재신경외과뇌실내수술중적응용개치.방법 2009년3월지2012년12월기간,대신경외과주원적80례경CT화(혹)MRI진단위뇌실내점위성병변이행수술치료적환자진행IOUS검사,병감측수술전과정.결과 80례뇌실내점위성병변IOUS균청석현시병조,기IOUS표현각구특점.결론 IOUS능준학식별병조병정학정위,제공실시적술중영상신식,유효지도수술로경、감측수술과정,피면대주위중요결구급대혈관적손상,유조우제고신경외과심부수술적정학성화안전성,환가재일정정도상감소술중출혈량、축단수술시간,제고수술전절솔,감소술후병발증.
Objective To monitor the whole operation process of microsurgical resection of intraventricular lesions by intraoperative ultrasound (IOUS),and to discuss the value of IOUS in neurosurgery intraventricular surgery.Methods 80 patients of intracranial ventricular lesions by preoperative CT and/or MRI and accepted operation were collected in the study between Mar 2009 and December 2012.IOUS monitoring was performed during the operation.Results 80 lesions were showed clearly by IOUS and had their own characteristics in IOUS images.Conclusions IOUS could provide exact position of intraventricular lesions and real-time intraoperative images.It could also conduct the operation path and its process to avoid the injury of important structures,thus improve the safety and accuracy of the neurosurgical procedures.It also could reduce the intraoperative bleeding volume,shorten the operation time,improve the total resection rate and reduce the postoperative complications.