摘要
目的 评价神经导航辅助显微手术在治疗脑中央沟周围肿瘤中的应用价值。方法 在 2 6例脑中央沟周围肿瘤的显微手术中 ,应用神经导航系统实时指导手术操作。对神经导航系统的精确性、治疗效果进行分析。结果 2 6例平均坐标误差为 ( 2 71± 1 0 3 )mm ,肿瘤全切除 19例 ,次全切除 6例 ,大部切除 1例。术后 1周神经功能改善或无变化 2 1例 ,加重 5例 ,无手术死亡。结论 在脑中央沟周围肿瘤的显微手术中 ,神经导航系统可实时指导手术操作 ,有助于提高肿瘤全切除率 ,减轻对脑组织的损伤 ,降低神经功能缺失等并发症 。
Objective: To evaluate the utility of neuronavigator-guided microsurgery for brain tumors around the sulcus centralis.Methods: 26 patients with brain tumors around the sulcus centralis underwent microsurgery under the guidance of neuronavigator. The accuracy and the value of the navigation were assessed.Results: The mean fiducial error (MFE) was (2.71±1.03) mm. The total tumor removal was achieved in 19 cases, the subtotal removal in 6 cases and the part removal in 1 case. Neurological functions were improved or unchanged in 21 cases, worsen in 5 cases and no one died in 1 week postoperatively.Conclusions: The neuronavigation can guide the manipulation simultaneously. It is helpful to the increase in the total tumor removal, the decrease in the injury to brain and the reduction of the nervous dysfunction complications.
出处
《实用临床医药杂志》
CAS
2004年第1期18-20,共3页
Journal of Clinical Medicine in Practice
关键词
神经导航
显微手术
脑肿瘤
中央沟
neuronavigation
microsurgery
brain tumors
sulcus centralis
