CAJ | 학술논문

目的评估超高场强术中磁共振(intraoperative magnetic resonance imaging,iMRI)联合功能神经导航对于岛叶胶质瘤切除程度以及术后神经功能的影响.方法选择2013年1月至2014年4月间,接受iMRI联合功能神经导航手术的38例岛叶胶质瘤患者,对切除程度及术后并发症等进行评价.结果 20(53％)位患者通过iMRI发现肿瘤有残留,17例患者扫描后再次进行切除.进一步切除使肿瘤残留容积从17.9 mi减少到1.1 ml(P =0.0002),切除程度从96.9％提高到99.2％ (P =0.0013).24％的患者术后出现神经功能障碍.结论联合iMRI和功能神经导航手术安全有效,可以显著提高岛叶胶质瘤的切除程度,保护神经功能.
목적 평고초고장강술중자공진(intraoperative magnetic resonance imaging,iMRI)연합공능신경도항대우도협효질류절제정도이급술후신경공능적영향.방법 선택2013년1월지2014년4월간,접수iMRI연합공능신경도항수술적38례도협효질류환자,대절제정도급술후병발증등진행평개.결과 20(53％)위환자통과iMRI발현종류유잔류,17례환자소묘후재차진행절제.진일보절제사종류잔류용적종17.9 mi감소도1.1 ml(P =0.0002),절제정도종96.9％제고도99.2％ (P =0.0013).24％적환자술후출현신경공능장애.결론 연합iMRI화공능신경도항수술안전유효,가이현저제고도협효질류적절제정도,보호신경공능.
Objective To evaluate the effects of ultrahigh-field intraoperative magnetic resonance imaging (iMRI) in combination with function neuronavigation on extent of resection of insular glioma and postoperative neurological function.Methods Thirty-eight patients with insular glioma who received iMRI in combination with functional neuronavigation surgery were enrolled between January 2013 and April 2014.The extent of resection and postoperative complications were evaluated.Results Residual tumors in 20 patients (53％) were found by iMRI.They were removed again in 17 patients after scanning.After further resection,the residual tumor volume was decreased from 17.9 ml to 1.l ml (P =0.0002).The extent of resection increased from 96.9％ to 99.2％ (P =0.0013).24％ of patients had neurological dysfunction after procedure.Conclusion iMRI in combination with functional neuronavigation surgery is safe and effective.It significantly increases the extent of resection of insular glioma and protects neurological function.