摘要
目的对比分析术中超声与神经导航在颅内肿瘤性病变切除过程中的价值。方法对128例(132个病灶)术前诊断为颅内肿瘤的患者分别于骨瓣打开前后、病灶切除过程中、病灶切除后行术中超声及神经导航定位探查。结果在骨瓣打开后132个肿瘤病灶的术中超声均准确定位,术中监测病灶残留程度几乎与病理及术后MR结果相符;神经导航在骨瓣打开前均能准确定位病灶,但骨瓣打开后定位病灶及术中监测病灶残留程度部分与病理及术后MR结果有偏差。在定位小病灶(≤1cm)及监测胶质瘤残留程度时术中超声较神经导航更为准确,而在定位大病灶(>1cm)及监测其他类型病灶切除时两者无明显差异。结论神经导航可在骨瓣打开前准确定位病灶,但在骨瓣打开后术中超声定位更为精确,尤其在定位小病灶(≤1cm)及监测胶质瘤残留程度时术中超声较神经导航更有意义。
Objective To explore the value of intraoperative ultrasound （IOUS） and neuronavigation in intracranial tumor resection. Methods IOUS and neuronavigation were performed in 128 patients （132 lesions） with intracranial tumors. The two methods were performed before and after the bone flap resection, during and after the lesion resection. Results Totally 132 lesions were located accurately by IOUS after the bone flap, and the residual tumor found by IOUS were in accordance with their pathology and MRI results. Neuronavigation located the lesions accurately before the bone flap resection, but there had some dev.iations in location and the residual tumor monitor to their pathology and MRI results. The IOUS were more accurate in small lesions with diameter≤ 1 cm, and for lesions of the diameter〉 1 cm, the two methods have the same effect. Conclusion Neu- ronavigation can locate the lesions accurately before the bone flap resection, but the IOUS is more accurate after the bone flap resec tion,especially for the lesions diameter ≤ 1 cm and the residual monitor of the glioma.
出处
《中国介入影像与治疗学》
CSCD
北大核心
2015年第12期748-751,共4页
Chinese Journal of Interventional Imaging and Therapy
关键词
超声检查
神经导航
脑肿瘤
Ultrasonography
Neuronavigation
Brain neoplasms
