微血管减压术中的术中吲哚菁绿血管造影：30例报告
Intraoperative indocyanine green angiography during microvascular decompression surgery: report of 30 cases.
作者信息
Zhang Hong, Fu Wei-Ming, Chen Peng, Shi Jian
机构信息
Department of Neurosurgery, Second Affiliated Hospital Zhejiang University College of Medicine, No 88, Jiefang Road, Hangzhou, Zhejiang, 310009, China.
出版信息
Acta Neurochir (Wien). 2014 Aug;156(8):1561-4. doi: 10.1007/s00701-014-2105-x. Epub 2014 May 9.
BACKGROUND
The purpose of this study was to evaluate the use of intraoperative indocyanine green (ICG) angiography during microvascular decompression (MVD) surgery.
METHODS
The surgical outcomes of 19 patients with hemifacial spasm, nine patients with trigeminal neuralgia, and two patients with glossopharyngeal neuralgia who were treated with MVD surgery, using the posterior approach and routine craniotomy, via procedures in which ICG angiography was used were analyzed retrospectively.
RESULTS
ICG angiography clearly displayed the nerves and blood vessels. Among the 30 patients, 25 were cured, four showed improvements, and one had a worsened outcome. There were no significant complications. Outcome was not associated with age, gender, or diagnosis.
CONCLUSION
Intraoperative ICG angiography used during MVD surgery provided a clear display of the nerves and arteries. All but one patient was cured or had improvement. The findings suggest that intraoperative ICG angiography may be an effective supplemental technique for use during MVD surgery.
背景
本研究的目的是评估术中吲哚菁绿（ICG）血管造影在微血管减压术（MVD）中的应用。
方法
回顾性分析19例面肌痉挛患者、9例三叉神经痛患者和2例舌咽神经痛患者采用后入路和常规开颅手术行MVD手术并使用ICG血管造影的手术结果。
结果
ICG血管造影清晰显示神经和血管。30例患者中，25例治愈，4例改善，1例病情恶化。无明显并发症。结果与年龄、性别或诊断无关。
结论
MVD手术中使用术中ICG血管造影能清晰显示神经和动脉。除1例患者外，所有患者均治愈或改善。研究结果表明术中ICG血管造影可能是MVD手术中一种有效的辅助技术。
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