神经导航引导下射频热凝治疗在切除颅内巨大富血供肿瘤中的应用  

Application of neuronavigation guided radiofrequency thermocoagulation in resection of giant intracranial hypervascular tumor

作　　者：陈功[1] 顾培元[1] 胡卫星[1] 李猛[1] 魏栋[1] 

机构地区：[1]南京医科大学第一附属医院神经外科,210029

出　　处：《临床神经外科杂志》2014年第6期443-445,共3页Journal of Clinical Neurosurgery

基　　金：国家自然科学基金(8160053)

摘　　要：目的探讨射频热凝辅助治疗系统结合神经导航在切除颅内巨大富血供肿瘤手术中的作用。方法观察13例颅内巨大富血供肿瘤手术中,在神经导航系统的指引下,准确确定热凝部位,两者辅助下,显微手术切除巨大肿瘤,总结定位的准确性及治疗效果。结果 13例颅内巨大富血供肿瘤,全切除9例,次全切除3例,部分切除1例,术中输血1例,输血600 ml,余病例未输血,无死亡病例。结论使用神经导航系统,术前可评价颅内肿瘤情况,术中可动态跟踪并实时导航,在其辅助下,射频热凝定位更加准确、可靠,有助于肿瘤全切除及降低手术并发症。Objective To investigate the role of radiofrequency thermocoagulation treatment system combined with neuronavigation in resection of giant intracranial hypervascular tumors. Methods 13 patients with giant intracranial hypervascular tumors were microsurgically resected with thermocoagulation treatment system under the guidance of the neuronavigation system which accurately determined the coagulation area.Summarizing the positioning accuracy assisted by the neuronavigation and the effect of treatment.Results Of 13 patients with giant intracranial hypervascular tumors, total lesions removal were achieved in 9, subtotoal removal in 3 and partial resection in 1.Blood transfusion was performed in 1 case with 600 ml and none in the other cases. No dead case occurred.Conclusion The neuronavigation system can provide preoperative evaluation of intracranial tumors and the real-time navigation in the operation.With its guidance, the radiofrequency thermocoagulation positioning could be more accurate and reliable, which contribute to the total tumor resection and reducing operation complications.

关 键 词：神经导航 射频热凝 颅内巨大富血供肿瘤 

分 类 号：R739.4[医药卫生—肿瘤]