脑胶质瘤显微镜外科手术肿瘤切除过程中应用B超定位肿瘤位置和肿瘤范围的价值研究

Value of Determination of Tumor Location and Tumor Extent by B-Mode Ultrasonography in the Process of Microscopic Tumor Resection for Glioma

目的:探讨脑胶质瘤显微镜外科手术肿瘤切除过程中应用B超定位肿瘤位置和肿瘤范围的价值。方法:选取2017年9月~2021年12月本院收治的72例脑胶质瘤行显微镜外科手术肿瘤切除患者,随机分为观察组和对照组,各36例。其中肿瘤切除过程中未应用B超定位患者作为对照组,肿瘤切除过程中应用B超定位患者作为观察组。比较两组患者手术切除时间、术后颅内压变化、肿瘤全切率、术后疗效。结果:观察组患者手术所需时间、颅内压均少于对照组(P<0.05);观察组全切率高于对照组(P<0.05);手术后,两组患者MMSE、KPS评分、MoCA均高于对照组(P<0.05)。结论:脑胶质瘤切除中应用B超定位可以准确定位肿瘤位置和肿瘤范围,缩短手术时间、改善颅内压、提高全切率与临床疗效。

Objective:To investigate the value of B-mode ultrasonography in localizing the location and extent of glioma during microscopic surgical tumor resection.Methods:72 patients with glioma who underwent microsurgical tumor resection from September 2017 to December 2021 were randomly divided into an observation group (n=36) and a control group (n=36).Patients with tumor resection but not treated with B-ultrasound as the control group,and those with tumor resection treated with B-ultrasound were used as the observation group.The resection time,postoperative intracranial pressure change,total tumor resection rate and postoperative efficacy were compared between the two groups.Results:The operation time and intracranial pressure in the observation group were less than those in the control group (P0.05).The total resection rate in the observation group was higher than that in the control group (P0.05).After the operation,the MMSE,KPS score and MoCA in the two groups were higher than those in the control group (P0.05).Conclusions:The application of B-ultrasound in glioma resection can accurately locate the location and extent of the tumor,shorten the operation time,Improve intracranial pressure,improve the total resection rate and the clinical efficacy.