应用神经导航结合术中超声协助治疗幕上胶质瘤

Application of Neuronavigation System Unite Intraoperative Ultrasound in Supratentorial Giomas Surgery

目的:探讨神经导航结合术中超声检查在幕上胶质瘤外科治疗的应用价值。方法:对31例幕上胶质瘤患者根据导航系统引导开颅,术中根据超声成像判断肿瘤大小及边界,制定最佳手术方案,显微切除肿瘤,术中实时超声判断肿瘤切除程度。通过术后病理学结果及影像学复查对该方法进行分析。结果:肿瘤全切29例,大部切除2例。所有患者导航引导开颅范围精确;术中超声成像定位精确,不同级别胶质瘤超声表现有差异。术后2例出现轻至中度神经功能障碍,无一例发生感染。结论:神经导航结合术中超声检查可协助对幕上胶质瘤行准确有效的外科治疗。

Objective：To explore the role of neuronavigation system unite intraoperative ultrasound in the surgical treatment of supratentorial gliomas. Methods： Thirty-one patients with supratentorial gliomas were guided the craniotomy approach by using neuronavigation system, and intraoperative real-time ultrasound was conducted to detect the size and confine of the tumors so as to determine the appropriate surgical project, then analysed the methods according to the pathological results and countercheck MRI. Results：of the 31 patients, 29 were totally removed, 2 were partial removed. The craniotomy approach of all the patients were exactness; All acquired exact location of the tumors with ultrasound showing different intensity of echo. Two patients suffered from mild or moderate neurological deficit after operation. No infection was found. Conclusion： Neuronavigation system unite intraoperative ultrasound may facilitate accurate and effective surgical treatment for the supratentorial gliomas.