CAJ | 학술논문

目的探讨术中超声在指导脑实质内小病灶切除中的应用价值.方法开颅术中超声引导下对12例脑实质内小病灶进行手术切除,分析术中超声引导病灶定位及指导手术切除情况.结果12例12个病灶术中超声均能清晰显示,准确定位,位于运动功能区6例、语言功能区2例、非功能区4例.不同病灶有其特征性的声像图表现,利用彩色多普勒模式可清楚显示血管畸形或血供丰富的肿瘤内的血流动力学情况.术中超声引导下对2例脑胶质瘤、2例转移瘤、2例动静脉畸形、2例寄生虫、1例海绵状血管瘤和1例脑脓肿病变均完整切除;1例胶质瘤大部分切除,1例胶质瘤病部分切除.结论术中超声可对脑实质内小病灶实时、精准定位,有助于将病灶完整切除,减轻脑组织损伤.
목적탐토술중초성재지도뇌실질내소병조절제중적응용개치.방법개로술중초성인도하대12례뇌실질내소병조진행수술절제,분석술중초성인도병조정위급지도수술절제정황.결과12례12개병조술중초성균능청석현시,준학정위,위우운동공능구6례、어언공능구2례、비공능구4례.불동병조유기특정성적성상도표현,이용채색다보륵모식가청초현시혈관기형혹혈공봉부적종류내적혈류동역학정황.술중초성인도하대2례뇌효질류、2례전이류、2례동정맥기형、2례기생충、1례해면상혈관류화1례뇌농종병변균완정절제;1례효질류대부분절제,1례효질류병부분절제.결론술중초성가대뇌실질내소병조실시、정준정위,유조우장병조완정절제,감경뇌조직손상.
Objective To discuss the value of the intraoperative ultrasound in the guidance of brain parenchymal small lesions resection .Methods Twenty cases of the small lesions were removed in the brain parenchyma using the intraoperative ultrasound real-time location.Results All lesions were precisely displayed and located in the operation .Six cases were in motor areas,2 cases were in language areas,and 4 cases were in the nonfunctional areas .Different lesions had characteristic ultrasound images ,color Doppler flow imaging(CDFI)can distinctly reveal the hemodynamics of the arteriovenous malformation and tumor with rich blood supply.With the intraoperative ultrasound guidance ,2 cases of gliomas,2 cases of metastatic tumors,2 cases of parasites,1 case of cavernous hemangiomas and 1 case of abscess were totally resected,1 case of gliomas was subtotal resection and 1 case of gliomatosis cerebri was partial resection.Conclusion Intraoperative ultrasound provided a real-time and precisely locating,which was helpful for the resection of the small lesions in the brain parenchyma,and relieved the brain damages .