现代肿瘤医学
現代腫瘤醫學
현대종류의학
JOURNAL OF MODERN ONCOLOGY
2015年
17期
2417-2420
,共4页
王睿智%闫前锦%高李贵%师蔚%吕健%屈建强%巩守平
王睿智%閆前錦%高李貴%師蔚%呂健%屈建彊%鞏守平
왕예지%염전금%고리귀%사위%려건%굴건강%공수평
岛叶胶质瘤%3. 0T磁共振%术中B超
島葉膠質瘤%3. 0T磁共振%術中B超
도협효질류%3. 0T자공진%술중B초
insular lobe glioma%3. 0T-MRI%intraoperative B ultrasound
目的:总结岛叶胶质瘤的治疗经验,并探讨3.0T磁共振( magnetic resonance imaging,MRI)及术中B超技术在岛叶胶质瘤手术治疗中的应用。方法:回顾性分析18例岛叶胶质瘤患者,总结术前3.0T-MRI检查对手术参考价值并分析术中B超技术辅助肿瘤切除的意义。结果:6例(33%)患者术前因癫痫大发作和颅内压增高导致病情迅速恶化,采取急诊手术治疗,余12例患者行择期手术。术前3.0T-MRI对肿瘤边界及外侧豆纹动脉提供详细信息,术中B超可对肿瘤进行定位,并能够实时观察肿瘤切除程度,有利于最大程度切除肿瘤,但对于低级别胶质瘤,超声造影效果受限。结论:颅内压增高合并癫痫发作的岛叶胶质瘤需尽早手术。术前3.0T-MRI检查及术中B超技术有利于保护外侧豆纹动脉,并有助于最大程度切除肿瘤。
目的:總結島葉膠質瘤的治療經驗,併探討3.0T磁共振( magnetic resonance imaging,MRI)及術中B超技術在島葉膠質瘤手術治療中的應用。方法:迴顧性分析18例島葉膠質瘤患者,總結術前3.0T-MRI檢查對手術參攷價值併分析術中B超技術輔助腫瘤切除的意義。結果:6例(33%)患者術前因癲癇大髮作和顱內壓增高導緻病情迅速噁化,採取急診手術治療,餘12例患者行擇期手術。術前3.0T-MRI對腫瘤邊界及外側豆紋動脈提供詳細信息,術中B超可對腫瘤進行定位,併能夠實時觀察腫瘤切除程度,有利于最大程度切除腫瘤,但對于低級彆膠質瘤,超聲造影效果受限。結論:顱內壓增高閤併癲癇髮作的島葉膠質瘤需儘早手術。術前3.0T-MRI檢查及術中B超技術有利于保護外側豆紋動脈,併有助于最大程度切除腫瘤。
목적:총결도협효질류적치료경험,병탐토3.0T자공진( magnetic resonance imaging,MRI)급술중B초기술재도협효질류수술치료중적응용。방법:회고성분석18례도협효질류환자,총결술전3.0T-MRI검사대수술삼고개치병분석술중B초기술보조종류절제적의의。결과:6례(33%)환자술전인전간대발작화로내압증고도치병정신속악화,채취급진수술치료,여12례환자행택기수술。술전3.0T-MRI대종류변계급외측두문동맥제공상세신식,술중B초가대종류진행정위,병능구실시관찰종류절제정도,유리우최대정도절제종류,단대우저급별효질류,초성조영효과수한。결론:로내압증고합병전간발작적도협효질류수진조수술。술전3.0T-MRI검사급술중B초기술유리우보호외측두문동맥,병유조우최대정도절제종류。
Objective:To summarize the experience of the treatment of insular lobe glioma and investigate the ap-plication of preoperative 3. 0T-MRI and intraoperative B ultrasound in the operation. Methods:A total number of 18 cases were reviewed retrospectively. The treatment processes were analyzed and the experience and lessons were pres-ented. The preoperative 3. 0T-MRI and intraoperative B ultrasound advantages and disadvantages of the two tech-niques were summarized. Results:Six cases(33%)had emergent operation due to deteriorated condition caused by increased intracranial pressure and seizure. Twelve cases had selective surgery. 3. 0T -MRI clearly visualized the LSAs and the tumor margins. B ultrasound serves as a real-time monitor and helps to remove the tumor to the grea-test degree. However,the effect of contrast-enhanced ultrasonography is limited with low grade insular glioma. Con-clusion:An early operation was necessary for the cases manifested with increased intracranial pressure and seizure. Preoperative 3. 0T-MRI and B ultrasound can help to protect the LSAs and assist the resection of insular glioma.