CAJ | 학술논문

目的探讨术中超声及神经导航技术在岛叶胶质瘤手术中的应用价值.方法回顾性分析2008年1月至2013年5月在术中超声和(或)神经导航指导下经显微手术治疗的23例岛叶胶质瘤患者的临床资料,重点关注肿瘤切除程度及术后神经功能损害情况.结果术后影像学证实肿瘤全切除14例,次全切除或大部切除9例,其中应用术中超声辅助神经导航技术定位肿瘤组肿瘤全切除8例,单独术中超声组肿瘤全切除4例,单独神经导航组肿瘤全切除2例.术后随访5 ～52个月,术中超声辅助神经导航组术后早期及远期神经功能损害程度明显低于其他两组.结论术中超声辅助神经导航技术切除岛叶胶质瘤,可提高肿瘤全切率,增加手术安全性.
목적 탐토술중초성급신경도항기술재도협효질류수술중적응용개치.방법 회고성분석2008년1월지2013년5월재술중초성화(혹)신경도항지도하경현미수술치료적23례도협효질류환자적림상자료,중점관주종류절제정도급술후신경공능손해정황.결과 술후영상학증실종류전절제14례,차전절제혹대부절제9례,기중응용술중초성보조신경도항기술정위종류조종류전절제8례,단독술중초성조종류전절제4례,단독신경도항조종류전절제2례.술후수방5 ～52개월,술중초성보조신경도항조술후조기급원기신경공능손해정도명현저우기타량조.결론 술중초성보조신경도항기술절제도협효질류,가제고종류전절솔,증가수술안전성.
Objective To explore the cfinical value of intraoperative ultrasound and neuronavigation in microneurosurgery for resection of insular gliomas.Methods The clinical materials of 23 cases (13 male and 10 female) with insular gliomns between January 2008 and May 2013 were retrospectively analyzed.All patients received microneurosurgery under the guidance of intraoperative ultrasound and (or) neuronavigation.The extent of tumor resection and postoperative neurological deficits were focused on.Results The postoperative imaging showed that total resection of the insular gliomas was achieved in 14 cases,subtotal or partial resection in 9 cases.The tumors were totally removed in 8 of 11 cases in intraoperative ultrasound-assisted neuronavigation group,in 4 of 6 cases in intraoperative ultrasound group and in 2 of 6 cases in neuronavigation group.The postoperative follow-up period had a range of 5 to 52 months (average 22.5 months).The extent of postoperative early and long-term neurological deficits in intraoperative ultrasound-assisted neuronavigation group was lower than that in the other groups.Conclusion The technology of intraoperative ultrasoundassisted neuronavigafion for the resection of insular gliomas can help improve the rate of total resection of tumor and increase the safety of surgery.