中华神经医学杂志
中華神經醫學雜誌
중화신경의학잡지
CHINESE JOURNAL OF NEUROMEDICINE
2013年
8期
843-845
,共3页
吴月奎%王尚武%党圆圆%郭海若%何江弘%秦家振%戴宜武%徐如祥
吳月奎%王尚武%黨圓圓%郭海若%何江弘%秦傢振%戴宜武%徐如祥
오월규%왕상무%당원원%곽해약%하강홍%진가진%대의무%서여상
无框架立体定向%活检%颅内多发及深部病变
無框架立體定嚮%活檢%顱內多髮及深部病變
무광가입체정향%활검%로내다발급심부병변
Frameless stereotactic biopsy%Biopsy%Intracranial multiple and deep lesions
目的 探讨无框架立体定向活检术在颅内多发及深部病变中的应用及操作规范.方法 北京军区总医院及北京市密云医院自2010年1月至2012年10月应用德国BrainLab公司的Vario guide Vector Vision Sky 1.0神经导航系统辅助下行无框架立体定向活检术36例,均获得其病理组织检查确诊. 结果 37例患者中胶质瘤18例(48.64％)(其中胶质母细胞瘤8例)、淋巴瘤4例(10.81％)、神经纤维瘤3例(8.11％)、转移瘤4例(10.81％)、脑膜瘤2例(5.41％)、原发性中枢神经系统外胚层肿瘤1例(2.70％)、炎性病变1例(2.70％)、脑囊虫病1例(2.70％)、结核瘤1例(2.70％)、活检阴性1例(2.70％),病理确诊率97.22％. 结论 对于颅内多发及深部病变,无框架立体定向活检术创伤小,能够有效获得组织行病理学检查,可为后续相关治疗提供重要参考.
目的 探討無框架立體定嚮活檢術在顱內多髮及深部病變中的應用及操作規範.方法 北京軍區總醫院及北京市密雲醫院自2010年1月至2012年10月應用德國BrainLab公司的Vario guide Vector Vision Sky 1.0神經導航繫統輔助下行無框架立體定嚮活檢術36例,均穫得其病理組織檢查確診. 結果 37例患者中膠質瘤18例(48.64％)(其中膠質母細胞瘤8例)、淋巴瘤4例(10.81％)、神經纖維瘤3例(8.11％)、轉移瘤4例(10.81％)、腦膜瘤2例(5.41％)、原髮性中樞神經繫統外胚層腫瘤1例(2.70％)、炎性病變1例(2.70％)、腦囊蟲病1例(2.70％)、結覈瘤1例(2.70％)、活檢陰性1例(2.70％),病理確診率97.22％. 結論 對于顱內多髮及深部病變,無框架立體定嚮活檢術創傷小,能夠有效穫得組織行病理學檢查,可為後續相關治療提供重要參攷.
목적 탐토무광가입체정향활검술재로내다발급심부병변중적응용급조작규범.방법 북경군구총의원급북경시밀운의원자2010년1월지2012년10월응용덕국BrainLab공사적Vario guide Vector Vision Sky 1.0신경도항계통보조하행무광가입체정향활검술36례,균획득기병리조직검사학진. 결과 37례환자중효질류18례(48.64％)(기중효질모세포류8례)、림파류4례(10.81％)、신경섬유류3례(8.11％)、전이류4례(10.81％)、뇌막류2례(5.41％)、원발성중추신경계통외배층종류1례(2.70％)、염성병변1례(2.70％)、뇌낭충병1례(2.70％)、결핵류1례(2.70％)、활검음성1례(2.70％),병리학진솔97.22％. 결론 대우로내다발급심부병변,무광가입체정향활검술창상소,능구유효획득조직행병이학검사,가위후속상관치료제공중요삼고.
Objective To discuss the application and operation specification of frameless stereotactic biopsy in intracranial multiple and deep lesions.Methods Retrospective analysis of a consecutive series of 36 specimens,collected in our hospitals from January 2010 to October 2012 was performed; the specimens were performed BrainLab Vario guide Vector Vision Sky 1.0 neuro-navigation assisted frameless stereotactic biopsy,and their histopathology was determined.Results Conclusive histopathologic diagnosis was obtained in 35 specimens (97.22％); gliomas were observed in 18 (50.00％),including 8 with glioblastomas; lymphoma in 4 (11.11％),neurofibroma in 3 (8.32％),metastatic tumors in 4 (11.11％),meningiomas in 2 (5.56％),primary central nervous system ectodermal tumor in 1 (2.78 ％),inflammatory lesion in 1 (2.78％),cerebral cysticercosis in 1 (2.78％),tuberculosis tumor in 1 (2.78％) and negative biopsy in 1 (2.78％); no serious complications followed by stereotactic biopsy were noted.Conclusion In the intracranial multiple and deep lesions,frameless stereotactic biopsy is safe and minimally invasive; through it,the pathology can be obtained,which is significant for the subsequent treatments.
