Hayashi Kentaro, Matsuo Takayuki, Suyama Kazuhiko, Nagata Izumi
Department of Neurosurgery, Nagasaki University School of Medicine, Nagasaki.
Neurol Med Chir (Tokyo). 2012;52(3):165-8. doi: 10.2176/nmc.52.165.
Ultrasonography has become a common method for evaluation of the central nervous system. We present our experience with ultrasonography monitoring with a burr-hole transducer for investigation of intracranial lesions. Common indications for this technique included guidance for placement of catheters, localization of masses, aspiration of cystic lesion, and confirmation of removal. Postoperative computed tomography (CT) was obtained to corroborate the appropriate procedures performed under ultrasonography guidance. Intraoperative ultrasonography provided immediate real-time information about the anatomy and pathological location of lesions. Postoperative CT findings were consistent with intraoperative ultrasonography findings. No procedure-related complication was noted and problems were minimal. Intraoperative ultrasonography using a burr-hole transducer has proved to be useful in burr-hole surgery.
超声检查已成为评估中枢神经系统的常用方法。我们介绍了使用骨窗探头进行超声监测以研究颅内病变的经验。该技术的常见适应证包括导管置入引导、肿块定位、囊性病变抽吸以及确认切除情况。术后进行计算机断层扫描（CT）以证实超声引导下所进行的适当操作。术中超声提供了有关病变解剖结构和病理位置的即时实时信息。术后CT结果与术中超声检查结果一致。未发现与操作相关的并发症，问题极少。事实证明，使用骨窗探头的术中超声在骨窗手术中很有用。
