神经导航辅助显微手术治疗边缘系统胶质瘤(附36例分析)  

Neuronavigator-assisted microsurgery for limbic and paralimbic glioma:analysis of 36 cases

作　　者：郭世文[1] 张晓东[1] 姜海涛[1] 何百祥[1] 鲍刚[1] 徐高峰[1] 廉民学[1] 

机构地区：[1]西安交通大学医学院第一附属医院神经外科,陕西西安710061

出　　处：《中国微侵袭神经外科杂志》2009年第10期442-444,共3页Chinese Journal of Minimally Invasive Neurosurgery

摘　　要：目的探讨神经导航辅助显微手术治疗边缘系统胶质瘤的疗效。方法回顾性分析神经导航辅助显微手术治疗36例边缘系统胶质瘤的临床资料,对神经导航术中应用的优越性、精确性等进行分析。结果本组神经导航平均注册误差(1.6±0.8)mm,肿瘤和大脑中动脉、基底核等重要解剖结构定位准确。肿瘤全切除30例,部分切除6例。术后神经功能未受明显影响,无手术并发症及死亡。结论神经导航辅助显微手术治疗边缘系统胶质瘤具有定位准确、可动态示踪、实时导航、侵袭性小和安全可靠等优点,有助于提高肿瘤全切除率及减少手术并发症,是边缘系统胶质瘤治疗的首选方法。Objective To evaluate the therapeutic efficacy of neuronavigator-assisted microsurgery for limbic and paralimbic glioma.Methods Thirty six patients with limbic and paralimbic glioma that underwent neuronavigator-assisted microsurgery were analyzed retrospectively,and the relative merits and accuracy of the neuronavigation were assessed.Results The mean registration error was 1.6 ± 0.8 mm.The tumors and important anatomical structures such as the middle cerebral artery and basal ganglia were accurately located.Total tumor resection was achieved in 30 cases and partial resection in 6.The postoperative neurological function was not significantly affected.No surgical complications and death occurred.Conclusion The neuronavigator-assisted microsurgery for limbic and paralimbic glioma has many advantages such as accurate location,dynamic monitoring,real time navigation,low invasion,reliability and safety,which can help to improve the total resection rate and reduce the postoperative complications,and should be used as the first choice for the treatment of limbic and paralimbic glioma.

关 键 词：神经胶质瘤 边缘系统 神经导航 神经外科手术 

分 类 号：R739.41[医药卫生—肿瘤] R730.264[医药卫生—临床医学]