超声引导下微创神经外科手术治疗颅内肿瘤的临床研究
[Ultrasound-guided minimally invasive neurosurgery in treatment of cranial tumors: clinical study].
作者信息
Zhao Peng, Zhao Yan, Zhang Wei, Zhang Mao-zhi, Zhao Ji-zong
机构信息
Department of Neurosurgery, Beijing Tiantan Hospital, Capital University of Medical Sciences, Beijing 100050, China.
出版信息
Zhonghua Yi Xue Za Zhi. 2006 Jun 20;86(23):1600-3.
OBJECTIVE
To explore the applicability of ultrasound-guided minimally invasive neurosurgery in treatment of intracranial tumors.
METHODS
Thirty five patients with intracranial tumors diagnosed with preoperative CT and MRI underwent craniotomy. Intraoperative real-time monitoring ultrasound was conducted to detect the location, size and depth of the cerebral masses so as to determine the appropriate approach. At the end of operation, ultrasonography was used to explore the range of residue tumors.
RESULTS
All the 35 patients acquired exact location of the tumors with ultrasound manifesting different levels of echo. According to the pathological results, the lesions of 32 patients (91%) were totally removed and 3 patients (9%) underwent subtotal resection. No infection was found.
CONCLUSION
Ultrasound-guided minimally invasive neurosurgery is an effective real-time tool to localize brain tumors. It will provide a significant guidance for minimally invasive neurosurgery.
目的
探讨超声引导下微创神经外科手术在颅内肿瘤治疗中的适用性。
方法
35例经术前CT和MRI诊断为颅内肿瘤的患者接受开颅手术。术中进行实时监测超声，以检测脑内肿块的位置、大小和深度，从而确定合适的手术入路。手术结束时，使用超声检查残留肿瘤的范围。
结果
所有35例患者均通过超声准确确定了肿瘤位置，超声显示出不同程度的回声。根据病理结果，32例患者（91%）的病变被完全切除，3例患者（9%）接受了次全切除。未发现感染情况。
结论
超声引导下微创神经外科手术是一种有效的实时定位脑肿瘤的工具。它将为微创神经外科手术提供重要指导。
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