神经导航显微手术切除颅内肿瘤  

Neuronavigator-guided microsurgery for the resection of intracranial tumors

作　　者：章翔[1] 张剑宁[1] 费舟[1] 傅洛安[1] 刘卫平[1] 贺晓生[1] 蒋晓帆[1] 高大宽[1] 李峡[1] 梁景文[1] 

机构地区：[1]第四军医大学西京医院神经外科,陕西省西安市710032

出　　处：《中华显微外科杂志》2005年第2期116-118,共3页Chinese Journal of Microsurgery

基　　金：国家自然科学基金资助项目(30370512)第四军医大学西京医院临床新技术基金(XJGX03015M07)

摘　　要：目的探讨应用神经导航辅助显微外科手术切除颅内肿瘤的作用方法采用VectorVision神经导航系统、以显微外科技术切除215例颅内肿瘤,分析导航定位的准确性及与疗效的关系结果215例颅内肿瘤,全切除209例(97.2%)、次全切除6例(2.8%)。出院时患者症状明显改善186例(86.5%)、无明显变化27例(12.6%),死亡2例(0.9%)应用VectorVision的注册准确性为(1.95±0.54)mm,持续准确性为(0.65±0.32)mm。结论使用VectorVision神经导航系统,在术前可制定详细的颅内肿瘤手术计划,术中可辅助显微手术动态地追踪瘤体,手术定位准确、可靠,有利于颅内肿瘤的全切除并降低手术并发症。Objective To evaluate the effectiveness of neuronavigator-guided microsurgical surgery for the resection of intracranial tumors. Methods A total of 215 patients with intracranial tumors underwent microsurgical treatment under the Vector Vision neuronavigator to estimate the extent of the tumors. The treatment effects were summanzed and the neuronavigational accuracy was discussed. Results In 215 patients, total tumor removal was achieved in 209 cases (97.2%) , subtotal removal in 6 cases (2.8%). The neurological (functions were improved obviously in 186 patients (86.5%) ,unchanged in 27 (12.6%) ,and death was in 2 (0.9%). For Vector Vision,mean fiducial error (MFE) and sustained accuracy (SA) were (1.95±0.54) mm and (0.65±0.32) mm repectively. Condusion They are reliable and accurate in making microneurosurgical plans for intraeranial tumors by using Vector Vision navigation systems. And it can provide dvnamic tracing of the tumor in the microsurgical operation and guide the manipulation. This teehnique helps total removal of the intracranial tumors and a decrease in surgical complications.

关 键 词：颅内肿瘤 显微手术切除 Vision 神经导航系统 外科手术切除 手术并发症 准确性 作用方法 导航定位 次全切除 患者症状 定位准确 手术计划 显微外 出院时 

分 类 号：R739.4[医药卫生—肿瘤]