摘要
目的探讨多模态功能神经导航辅助下的术中磁共振技术在脑功能区胶质瘤手术中的优势。方法回顾性分析我科收治的186例涉及脑功能区的胶质瘤患者,分为术中磁共振功能神经导航组(A组,简称核磁组)103例和功能神经导航组(B组,简称导航组)83例,选取手术全切率、术后并发症发生率、术后随访结果进行比较。结果核磁组病例手术全切率达90.3%,导航组为55.4%;术后早期并发症发生率核磁组为5.8%,导航组为15.7%;术后随访3～40个月,患者1年生存率核磁组为90.2%,导航组为83.3%。结论术中磁共振技术和功能神经导航技术均为提高胶质瘤全切率的有效技术手段。
Objective To explore the advantage of intraoperative magnetic resonance imaging （iMRI） and functional neuronavigation in microsurgery for gliomas near cerebral eloquent areas. Methods The data of 186 patients of gliomas near cerebral eloquent areas, whom were divided into group A （iMRI） of 103 patients and group B （functional neuronavigation ）83 were analyzed retrospectively, the gross total resection, the postoperative neurological deficit and the following up result were compared between group A and group B . Results The gross total resection of A group is 90.3% , B group 55.4% ; the postoperative neurological deficit was observed in 5.8% of A group, 15.7% of B group;follow up for 3-40 months, indicate that 90.2% patients of A group survived for over 1 year, B group 83.3%. Conclusion iMRI and functional neuronavigation are both effective methods to improve the gross total resection of glioma.
出处
《临床神经外科杂志》
CAS
2013年第2期97-99,共3页
Journal of Clinical Neurosurgery
关键词
脑功能区
胶质瘤
术中磁共振
多模态功能神经导航
cerebral eloquent area
glioma
intraoperative magnic resonance imaging
muhimodal functional neuronavigation
