| 李芳娴,马惠钰,张巍,何文.术中超声用于显微镜下原发性幕上胶质母细胞瘤切除术[J].中国医学影像技术,2025,41(4):583~586 |
| 术中超声用于显微镜下原发性幕上胶质母细胞瘤切除术 |
| Intraoperative ultrasound for microsurgical resection of primary supratentorial glioblastoma |
| 投稿时间：2024-11-04 修订日期：2025-03-26 |
| DOI：10.13929/j.issn.1003-3289.2025.04.016 |
| 中文关键词: 胶质母细胞瘤 手术 超声检查 |
| 英文关键词:glioblastoma surgery ultrasonography |
| 基金项目: |
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| 中文摘要: |
| 目的 观察术中超声(IOUS)用于显微镜下原发性幕上胶质母细胞瘤切除术的价值。方法 回顾性收集130例经术后病理证实的中枢神经系统WHO 4级原发性幕上胶质母细胞瘤,根据术中是否应用IOUS分为IOUS组(n=65)与对照组(n=65);比较2组患者一般资料、手术相关指标及术后并发症,分析IOUS的应用价值。结果 IOUS组肿瘤深度大于,而术中出血量、住院时长及手术时长均小于对照组(P均＜0.05)。IOUS组28例、对照组分别29例出现术后并发症,IOUS组硬膜下积液发生率低于对照组(P＜0.05)。结论 IOUS可有效降低原发性幕上胶质母细胞瘤显微镜下切除术术中出血量、住院时长、手术时长及术后硬膜下积液发生率。 |
| 英文摘要: |
| Objective To observe the value of intraoperative ultrasound (IOUS) for microsurgical resection of primary supratentorial glioblastoma. Methods Totally 130 cases of central nervous system WHO grade 4 primary supratentorial glioblastoma confirmed by postoperative pathology were retrospectively enrolled and divided into IOUS group and control group (each n=65) based on whether IOUS was used during operation. The general information, resection related indicators and postoperative complications were compared between groups, and the application value of IOUS was analyzed. Results In IOUS group, the tumor depth was greater, while the intraoperative bleeding, duration of hospitalization and operation-duration were all less than those in control group (all P＜0.05). Postoperative complications occurred in 28 cases of IOUS group and 29 cases of control group, and the incidence of subdural effusion in IOUS group was lower than that in control group (P＜0.05). Conclusion IOUS could effectively reduce intraoperative bleeding, duration of hospitalization, operation-duration and incidence of postoperative subdural effusion in microsurgical resection of primary supratentorial glioblastoma. |
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