MRI导向立体定向开颅切除脑胶质瘤疗效观察

Effect of MRI-guided Stereotactic Gliomas Resection

目的观察MRI导向立体定向开颅切除脑胶质瘤的临床效果。方法应用MRI导向立体定向开颅切除脑胶质瘤9例,比较术前术后患者的神经功能变化,并随访6个月。结果9例患者的病灶均定位精确,一次手术切除,无死亡病例。术后复查MRI提示肿瘤全切,症状改善7例,无变化1例,加重1例。随访6个月,肢体感觉运动障碍者症状均有不同程度的好转。结论MRI导向立体定向开颅术可以对胶质瘤精确定位并确定手术切除范围,有助于提高胶质瘤的全切除率及降低手术并发症。

Objective To study the therapeutic effect of MRI-guided stereotactic gliomas resection.Methods MRI-guided stereotactic gliomas resection was performed in 9 patients.The changes of nervous function were compared between pre-and post-treatment,and follow-up lasted 6 months.Results All lesions were located accurately and resected at 1 time,without death cases.MRI showed that all lesions were resected,improved condition appeared in 7 patients,no changes in 1,aggravated in 1.Varying degrees of improvements were noted in patients with limb sensory-motor impairment.Conclusion MRI-guided stereotactic craniotomy,locating gilomas accurately and determining the scope of surgical resection,contributes to improving the entire gilomas resection rate and to reducing complications.