精准神经外科:微侵袭神经外科新理念  

Precise and accurate neurosurgery:new concept of minimal invasive neurosurgery

作　　者：许百男[1] 陈晓雷[1] 

机构地区：[1]解放军总医院神经外科,北京100853

出　　处：《解放军医学杂志》2011年第7期687-689,共3页Medical Journal of Chinese People's Liberation Army

基　　金：国家自然科学基金(30800349);广东省科技计划(2008B030301077);北京市自然科学基金(7102145)

摘　　要：近10年来,随着神经导航和术中成像技术的发展,微侵袭神经外科的理念有了很大转变。借助于多模态脑功能导航和术中磁共振等技术,神经外科尤其是脑实质内病变的手术方式取得了很大进步。在此基础上出现的精准神经外科理念是微侵袭神经外科理念的合理发展和延伸。精准神经外科利用术中磁共振技术进行病变的最大化切除,同时利用多模态功能神经导航可以标记并在术中保护脑重要功能结构,以最大化地提高患者术后生活质量,有效延长患者术后存活时间。进一步推广和普及精准神经外科的理念,对于改善脑重要功能区手术的疗效,减少并发症,保持广大患者的生活质量具有重要意义。In the past decade,with the advancement of neuro-navigation and intraoperative imaging,the concept of minimal invasive neurosurgery has greatly altered.Assisted with the multimodal functional neuro-navigation and intra-operative magnetic resonance imaging（iMRI）,prominent progress has been made in neurosurgical procedures,especially for cerebral parenchymal lesions.Based on these technological platforms,the newly evolved precise and accurate neurosurgery is the natural extension of minimal invasive neurosurgery.The new concept is to maximize resection of lesion with iMRI,at the same time improve the quality of life and increase the post-operative survival time by demarcation the functional brain structures with multimodal functional brain imaging and neuro-navigation.To promote the further understanding of precise and accurate neurosurgery is of great importance for the improvement of post-operative prognosis and life quality of patients.

关 键 词：外科手术 微创性 神经外科手术 神经导航 

分 类 号：R651.1[医药卫生—外科学]