神经导航系统在脑深部病灶手术中的应用  

Application of neuronavigation in resection of intracranail deep lesions

作　　者：牛朝诗[1] 傅先明[1] 姜晓峰[1] 凌至培[1] 魏祥品[1] 魏建军[1] 汪业汉[1] 

机构地区：[1]安徽省立医院神经外科,安徽省立体定向神经外科研究所,合肥230001

出　　处：《立体定向和功能性神经外科杂志》2005年第1期1-3,共3页Chinese Journal of Stereotactic and Functional Neurosurgery

基　　金：安徽省科学事业费项目 ;安徽省优秀青年科技基金项目 (编号 :0 40 43 0 72 );安徽省临床医学重点学科技术进步专项课题 (编号 :2 0 0 4Z0 0 7) ;安徽省卫生厅科研基金 (编号 :2 0 0 2A0 3 3 )

摘　　要：目的　评价神经导航系统在脑深部病灶手术中的应用。方法　应用ASA - 6 10V神经导航系统对 5 1例脑深部病灶手术治疗 ,术前采用神经影像导航扫描 ,对病灶进行三维重建 ,制定手术治疗计划 ,术中根据手术计划选择手术方式以及手术切除范围 ,分析治疗效果。结果　肿瘤及其周围结构定位准确。 5 1例脑深部病灶 ,手术全切除 4 2例 (82 .3% ) ,次全切除 3例 (5 .9% ) ,大部分切除 6例 (11.8% ) ;术后症状改善或不变 4 8例 (94 .1% ) ,症状加重或出现新症状 3例 (5 .9% ) ,无死亡病例。结论　应用神经导航系统可以精确定位脑深部病灶 ,设计最佳手术入路 ,有助于提高手术疗效 ,降低手术并发症。Objective To evaluate the utility of neuronavagation system for resection of intracranail deep lesions.Methods 51 cases with intracranail deep lesions were surgically treated with guidance of ASA-610V neuronavigation.Neuronavigation-MRI were three-dimensionally reconstructed,and lesions were outlined to design surgical planning preoperatively,and removal range were decided intraoperatively.The clinical data and postoperative outcome were analized.Results The lesion and it's surrounding structure were located accurately.In 51 cases of lesionectomy operations,total lesion removal was achieved in 42 cases (82.3%),subtotal removal in 3 cases (5.9%),most partial removal in 6 cases(11.8%).Neurological symptoms improved or unchanged in 48 cases(94.1%),postoperative neurological symptoms becamed severe or new deficience of neuronal function appeared in 3 cases (5.9%).Conclusion Neuronavigation system can provide a accurate localization for intracranial deep lesions operation,and help to design surgical approach well.The application of this technique can dramatically improve surgical effect and decrease surgical complication.

关 键 词：神经导航 脑深部病灶 外科手术 

分 类 号：R739.41[医药卫生—肿瘤] R651.11[医药卫生—临床医学]