超声引导下微创手术治疗颅内肿瘤  

Ultrasound-guided minimally invasive neurosurgery in patients with cranial tumors

作　　者：李正明[1] 卜向飞[1] 金孝东[1] 丁涟沭[1] 卞爱苗[1] 蒋健[1] 孙晓阳[1] 

机构地区：[1]江苏省淮安市第一人民医院神经外科,223300

出　　处：《中华神经医学杂志》2013年第1期76-78,共3页Chinese Journal of Neuromedicine

摘　　要：目的分析探讨应用超声引导微创手术治疗颅内肿瘤的临床效果。方法江苏省淮安市第一人民医院神经外科自2010年4月至2012年4月采用超声引导微创手术治疗颅内肿瘤患者42例，回顾性分析患者的临床资料和疗效。结果本组患者均未出现术后感染、医源性脑出血或继发性神经功能损伤。术后影像学检测显示患者治疗等级为一级者40例（95．24％），二级者2例（4．76％），无三级病例（0％）。仅1例患者术后2年复发。结论利用超声引导微创手术治疗颅内肿瘤定位精准，对患者造成的创伤较小，能提高肿瘤的根除率，预后较好。Objective To study the efficacy of ultrasound-guided minimally invasive neurosurgery in patients with intracranial tumors. Methods Forty-two patients with intracranial tumors, admitted to our hospital and performed ultrasound-guided minimally invasive neurosurgery from April 2010 to April 2012, were chosen in our study; their clinical data and treatment efficacy were retrospectively analyzed. Results No postoperative infection, iatrogenic cerebral hemorrhage or secondary nerve dysfunction appeared in all the patients. Postoperative imaging showed that complete resection was achieved in 40 patients （95.24%）, subtotal resection in 2 patients （4.76%） and residues of the most tumors in 0 （0%）. Only 1 patient recurred 2 years after the operation. Conclusion It is accurate for Ultrasound-guided minimally invasive neurosurgery in patients with cranial tumors, having less trauma, higher eradication rate and better prognosis.

关 键 词：超声 颅内肿瘤 微创手术 疗效 

分 类 号：R739.41[医药卫生—肿瘤]