颅脑肿瘤手术中实时超声技术的临床应用  

Intraoperative Real-Time Ultrasound Applicated in Brain Tumor Neurosurgery

作　　者：丁勇[1] 江基尧 刘卫东[1] 钱忠心[1] 赵鸿[1] 赵明珠[1] 叶树铭[1] 龚良[1] 江怡[1] 王颖[1] 康慧丽[1] 

机构地区：[1]上海市浦南医院神经外科,上海200125 [2]上海市仁济医院神经外科,上海200127

出　　处：《临床医学工程》2014年第4期401-403,共3页Clinical Medicine & Engineering

基　　金：上海市浦东新区卫生系统优秀青年医学人才培养(项目编号:PWRq2012-32);上海市浦东新区卫生系统重点学科群建设(项目编号:PWZxkq2011-02);上海市医学重点专科建设-神经外科(项目编号:ZK2012A31)

摘　　要：目的评价实时二维超声技术在颅脑肿瘤外科手术中的应用价值。方法①28例颅脑肿瘤神经外科显微手术中应用实时超声技术,进行导航定位,选择皮层入路,实时指导肿瘤切除。②测量术中实时超声肿瘤体积并与术前MRI进行对比分析。结果①本组28例手术应用该技术定位精确,皮层切口减小,能清晰提供肿瘤动态切除图像;其中全切除25例(89.3%)、次全切除3例(10.7%);2例出现肌力短暂下降,2周后恢复至术前水平。②术中实时超声测得肿瘤体积值与术前MRI符合,P>0.05,差异无统计学意义。结论颅脑肿瘤手术中应用超声技术具有病灶定位快速准确、图像实时可靠等特点,通过术中动态扫描,有助于提高肿瘤的全切率和手术的安全性。Objective To evaluate the clinical value of the two-dimensional B-mode ultrasound system in brain tumor microsurgery. Methods Real-time ultrasound technology was used in 28 cases of brain tumor neurosurgery microsurgery for navigation and positioning and selecting approach and guiding tumor resection in real time. Intraoperative real-time ultrasound measurement of tumor size and the preoperative MRI were analyzed and compared. Results This cohort included 28 brain tumor cases. The total removal rate was 89.3% （25/28） and subtotal removal rate was 10.7 % （3/28）. Muscle strength decreased was occurred in 2 cases, which resumed aiter two weeks. There was no statistical difference between intraoperative real-time ultrasound measurements and tumor preoperative magnetic resonance imaging （MRI）, P〉0.05. Conclusions Intraoperative 2D real-time ultrasound system can localize lesions accurately, and is safe and reliable. Intraoperative ultrasound technique enables to perform a more radical tumor resection.

关 键 词：脑肿瘤 神经外科 术中超声 

分 类 号：R739.41[医药卫生—肿瘤]