荧光导航技术在颅内恶性胶质瘤手术中的应用

Application of flurescence-guided resection in intracranial malignant gliomas surgery

目的探讨荧光导航技术在切除恶性脑胶质瘤的应用价值。方法应用荧光导航技术对14例大脑半球恶性胶质瘤患者进行手术切除。结果术后行头颅CT或MRI复查,见肿瘤全切除11例(78·6%)。患者一般情况均得到改善,无并发症发生,所有病例手术时间和住院日均较常规开颅手术缩短。结论荧光导航技术对于切除邻近重要功能区的恶性胶质瘤具有定位准确、微侵袭等特点,有助于提高恶性胶质瘤的全切除率,降低手术的并发症。

Objective To evaluate the application of the flurescence-guided resection in gliomas surgery. The value and the advantages of this system for glioma resection was assessed, points for attention of application were discussed. Method 14 patients with gliomas in different region of the brain were performed flurescence-guided resection by using high-dose fluorescein sodium . Results Of our cases, according to the imaging data, total lesion removals were achieved in 11 patients （78.6%）. The clinical status of all patients showed improvement without complication after surgery, the time of surgery and the days in hospital were both shortened than those of routine method of surgery. Conclusion The flurescence- guided resection is reliable and does accurate location in surgical treatment for gliomas. It increases rate of total lesion removal of glioma without injuring the adjacent functions.