Department of Neurosurgery, University Hospital Schleswig-Holstein, Kiel, Germany.
Neurosurgery. 2010 Sep;67(3):594-600; discussion 600. doi: 10.1227/01.NEU.0000374870.46963.BB.
To assess patients' perspective of combined awake craniotomy and intraoperative magnetic resonance imaging (MRI) in a prospective study.
We evaluated 25 consecutive patients prospectively. Qualitative and quantitative results were obtained by a psychologist via a structured interview 5 +/- 2 days postoperatively, supplemented by preoperative and postoperative assessment of the patients' mood with the Hospital Anxiety and Depression Scale, as well as parts of a structured clinical interview during the postoperative assessment.
Satisfaction with the experience was high in almost all cases. Only 1 patient recalled experiencing considerable discomfort during the operation. About one-third (39%) of our sample described minor to moderate difficulties; the remaining were entirely satisfied.
Although the combination of awake craniotomy and intraoperative MRI is demanding, it was both tolerable and reasonable for the patients. Our data confirm that intraoperative MRI appears to have no additional significant impact on the subjective patient perception, although it does prolong the procedure.
在一项前瞻性研究中评估患者对清醒开颅术和术中磁共振成像（MRI）联合应用的看法。
我们前瞻性地评估了 25 例连续患者。术后 5 ± 2 天，心理学家通过结构化访谈获得定性和定量结果，并通过术前和术后的医院焦虑抑郁量表（Hospital Anxiety and Depression Scale）评估患者的情绪，以及在术后评估期间进行结构化临床访谈的部分内容。
几乎所有患者对手术体验都非常满意。只有 1 名患者在手术过程中回忆感到相当不适。我们的样本中约有三分之一（39%）的患者描述了轻微到中度的困难；其余的患者则完全满意。
尽管清醒开颅术和术中 MRI 的联合应用要求很高，但对患者来说是可以耐受和合理的。我们的数据证实，尽管术中 MRI 确实延长了手术时间，但对患者的主观感受似乎没有额外的显著影响。
