Merritt C R, Coulon R, Connolly E
Radiology. 1983 Aug;148(2):513-7. doi: 10.1148/radiology.148.2.6867351.
High-resolution real-time ultrasound scanning of 54 patients was performed with a sector scanner during a variety of neurological procedures. Scans obtained at the time of craniotomy were successful in characterizing and localizing tumors, abscesses, arteriovenous malformations, and hematomas within the brain of 15 of 16 adult patients. One attempt to visualize a brain cyst through a 15-mm burr hole was unsuccessful. Scanning of 37 infants and young children was performed through the anterior fontanelle during placement of ventricular shunts. This allowed for the accurate placement of shunts in all patients and resulted in fewer short-term and long-term complications. Intraoperative ultrasound is a practical and highly effective means of providing intraoperative localization of intracranial anatomy and disease.
在各种神经外科手术过程中,使用扇形扫描仪对54例患者进行了高分辨率实时超声扫描。在16例成年患者中,有15例在开颅手术时获得的扫描成功地对脑内肿瘤、脓肿、动静脉畸形和血肿进行了特征描述和定位。通过一个15毫米的骨孔试图可视化一个脑囊肿的一次尝试未成功。在放置脑室分流管期间,通过前囟对37例婴幼儿进行了扫描。这使得所有患者的分流管都能准确放置,并减少了短期和长期并发症。术中超声是一种提供颅内解剖结构和疾病术中定位的实用且高效的方法。