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颅内病变的术中实时超声定位

Intraoperative localization of intracranial lesions with real time ultrasound.

作者信息

Boyd M C, Steinbok P, Cooperberg P L

出版信息

Can J Neurol Sci. 1985 Feb;12(1):31-4. doi: 10.1017/s0317167100046540.

DOI:10.1017/s0317167100046540
PMID:3884113
Abstract

High resolution ultrasound has been used intraoperatively on forty-five patients with various intracranial lesions. The technique is quickly and easily carried out under sterile conditions in the operating room. Successful localization of both primary and metastatic tumors of various sizes, depths and consistencies have been made prior to extirpation or biopsy. Several of the biopsies were done through small burr holes. Arteriovenous malformations, abscesses, bone fragments from trauma, gliotic epileptic foci and ventricles for shunt placement have been readily found. No significant complications have been encountered. A new technique for localizing superficial lesions is described. An overall reduction in operating time and unnecessary trauma to the patient has resulted from more accurate intraoperative localization of intracranial lesions with real time ultrasound.

摘要

高分辨率超声已在45例患有各种颅内病变的患者手术中使用。该技术在手术室无菌条件下快速且容易实施。在切除或活检之前,已成功定位了各种大小、深度和质地的原发性和转移性肿瘤。其中几次活检是通过小骨孔进行的。动静脉畸形、脓肿、创伤性骨碎片、胶质增生性癫痫灶以及用于分流放置的脑室均已很容易地被发现。未遇到重大并发症。描述了一种定位浅表病变的新技术。通过实时超声更准确地术中定位颅内病变,已使手术时间总体减少,且对患者的不必要创伤也减少。

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