张国臣,赵四军,韩磊,王重韧,尤宇,徐欣,赵明.术中超声联合神经导航应用于低级别胶质瘤显微手术[J].中国医学影像技术,2019,35(5):655~658 |
术中超声联合神经导航应用于低级别胶质瘤显微手术 |
Application of intraoperative ultrasound combined with neuronavigation in microsurgery of low-grade glioma |
投稿时间:2018-10-12 修订日期:2019-03-28 |
DOI:10.13929/j.1003-3289.201810030 |
中文关键词: 神经胶质瘤 超声检查 神经导航 显微外科手术 |
英文关键词:glioma ultrasonography neuronavigation microsurgery |
基金项目:河南省科学技术厅科技攻关计划项目(162102310337)。 |
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中文摘要: |
目的 探讨术中超声(IOUS)联合神经导航在低级别胶质瘤(LGG)显微手术中的应用价值。方法 对34例LGG在IOUS联合神经导航辅助下行显微切除手术,术后72 h内复查MRI,评价肿瘤切除程度,观察术后是否出现脑挫伤、脑出血等IOUS相关不良事件及颅内感染、脑血肿等并发症。结果 34例LGG,IOUS联合神经导航肿瘤发现率100%(34/34),定位肿瘤准确率100%(34/34)。术后72 h内MRI示肿瘤影像学全切除27例(27/34,79.41%),次全切除3例(3/34,8.82%),大部分切除4例(4/34,11.76%)。术后出现颅内感染2例,经抗感染治疗后好转;无IOUS相关不良事件发生。结论 IOUS联合神经导航可精确定位LGG,在最大程度上实现安全切除肿瘤。 |
英文摘要: |
Objective To explore the application value of intraoperative ultrasound (IOUS) combined with neuronavigation in the microsurgery of low-grade glioma (LGG). Methods Totally 34 patients with LGG underwent microsurgery assisted by IOUS combined with neuronavigation. The degree of tumor resection was evaluated by MRI within 72 hours after operation. Occurrence of IOUS related adverse events such as brain contusion, cerebral hemorrhage and complications such as intracranial infection and cerebral hematoma were observed. Results The detection rate of tumors by IOUS combined with neuronavigation was 100% (34/34) and accuracy rate of localization was 100% (34/34) in the 34 LGG patients. MRI within 72 hours after operation showed total resection in 27 cases (27/34, 79.41%), subtotal resection in 3 cases (3/34, 8.82%), and partial resection in 4 cases (4/34, 11.76%). Intracranial infection occurred in 2 cases which were improved after anti-infection treatment, but no IOUS scan related adverse events occurred. Conclusion IOUS combined with neuronavigation can accurately locate LGG and achieve maximum extent safely resection of tumors. |
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