神经导航显微外科在脑肿瘤手术中的应用  

Neuronavigator-guided microsurgery for resection of brain tumors

作　　者：章翔[1] 张剑宁[1] 费舟[1] 吴景文[1] 付洛安[1] 屈延[1] 刘卫平[1] 王占祥[1] 杨利孙[1] 贺哓生[1] 甄海宁[1] 高大宽[1] 曹卫东[1] 梁景文[1] 

机构地区：[1]第四军医大学西京医院神经外科,西安710032

出　　处：《中华医学杂志》2002年第4期219-221,共3页National Medical Journal of China

基　　金：国家自然科学基金资助项目 (3 9970 75 2 )

摘　　要：目的　探讨在神经导航下脑肿瘤及其周围结构定位的准确性和显微手术的治疗效果。方法　应用StealthStation和VectorVision神经导航系统 ,以显微手术切除 6 5例脑肿瘤 ,分析导航定位的准确性与手术治疗效果的关系。结果　 6 5个脑肿瘤 ,在满足神经导航注册准确性和术中导航持续准确性的前提下 ,全切除 6 3个 (97 0 % )、次全切除 2个 (3 0 % )。出院时患者症状明显改善 5 6例(86 2 % ) ,无明显变化 9例 (13 8% ) ,无病情恶化及死亡。结论　使用神经导航系统 ,在术前可制定详细的脑肿瘤手术计划 ,术中可辅助术者追踪瘤体、准确定位 。Objective To study locating accuracy for the brain tumors and their peri structures by the neuronavigator and elucidate the microsurgical effects. Methods 65 patients with intracranial tumors were microsurgically treated by the application of Stealth Station and Vector Vision system. The treatment effects were summarized and the neuronavigational accuracy was discussed. Results After mean fiducial error (MFE) and sustained accuracy (SA) were satisfied. Total tumor removal was achieved in 63 cases (97.0%), subtotoal removal in 2 cases (3.0%). The neurological functions were improved in 56 cases (86.2%), unchanged obviously in 9 cases (13.8%). No case deteriorated and died in the group. Conclusions Navigation systems are reliable and accurate in making microneurosurgical plans for brain tumors. And they can provide tracing of the tumor in the operation and guide the operator′s manipulation. The techniques, which help total removal of the tumors and reduce the postoperative complications, are very useful in guarantee operation effects.

关 键 词：脑肿瘤 神经导航 神经外科手术方法 治疗 

分 类 号：R739.4[医药卫生—肿瘤]