神经导航结合术中超声在神经外科手术中的应用体会

Study on application of ultrasound combined neuronavigation in neurosurgery

目的观察应用神经导航结合术中超声是否比单独应用神经导航具有优势。方法选取深圳市人民医院神经外科自2014年1月至2017年1月进行开颅手术患者213例,根据手术中应用的定位方法将患者分为神经导航组(82例)和神经导航结合术中超声组(131例)。通过术后影像学资料比较2组患者的完全切除率。结果神经导航组:病变完全切除53例,占64.6%;未完全切除的29例,占35.4%。神经导航结合术中超声组:病变完全切除103例,占78.6%;未完全切除的28例,占21.4%。差异具有统计学意义(P<0.05)。结论应用神经导航结合术中超声可提高手术的完全切除率,相比单独应用神经导航具有一定优势。

Objective To observe whether neuronavigation combined with intraoperative ultrasound is superior to neuronavigation alone. Methods Two hundred and thirteen patients who underwent craniotomy in Department of Neurosurgery, Shenzhen People＇s Hospital from January 2014 to January 2017 were selected and divided into neuronavigation group and neuronavigation combined with intraoperative ultrasound group according to the localization method used in the operation. The total resection rate of the two groups was compared by postoperative imaging data. Results Neuronavigation group： 53 cases were completely removed, accounting for 64.6%; 29 cases were not completely removed, accounting for 35.4%. Neuronavigation combined with intraoperative ultrasound： 103 cases were completely removed, accounting for 78.6%; 28 cases were not completely removed, accounting for 21.4%. The difference was statistically significant. Conclusion The application of neuronavigation combined with intraoperative ultrasound can improve the complete resection rate of surgery, which has certain advantages over the application of neuronavigation alone.