彩色多普勒超声导航在深部神经胶质瘤显微手术中的应用价值  

Application Value of Color Doppler Ultrasound Navigation in Deep Glioma Microsurgery

作　　者：戴兴[1] 魏剑波[1] 晏子媛 

机构地区：[1]攀枝花市中心医院,617067

出　　处：《实用癌症杂志》2016年第7期1130-1132,1136,共4页The Practical Journal of Cancer

摘　　要：目的探讨彩色多普勒超声导航技术在深部神经胶质瘤显微手术中的应用价值。方法选择确诊为深部神经胶质瘤且具有手术指征的30例,且这30例患者均应用了彩色超声多普勒导航技术,术前对患者进行了MRI和CT检查定位,进行开颅,暴露出硬脑膜后实时彩色多普勒超声确定深部神经胶质瘤的病变部位、范围、大小及周围血供情况,选择最佳的手术入路,彩色多普勒超声引导下放置明胶引导显微神经外科手术路径,并实时监控、评估病灶切除情况,术后行头颅MRI和CT检查,与术前的检查结果进行对比以评估疗效,同时选取同一时期未采用彩色多普勒超声导航的30例患者作为对照组,比较两组的手术时间及手术全切率。结果低级别与高级别胶质瘤的超声显像具有不同的特征,采用术中超声导航的30例患者的病变均能够准确定位,术中使用彩色多普勒超声导航,可以明显缩短深部神经胶质瘤的手术时间及提高全切率。结论彩色多普勒超声导航可以显著缩短深部神经胶质瘤显微手术的手术操作时间,并且可以做到实时监控,提高了肿瘤的全切率。Objective To evaluate the application value of color doppler ultrasound navigation in deep glioma microsurgery. Methods 30 cases of glioma with deep surgical indications received color Doppler navigation technology,Patients received preoperative MRI and CT positioning,then craniotomy,color Doppler ultrasound navigation after exposing the dura to determine the lesion deep glioma,scope,size and peripheral blood supply,choose the best surgical approach,operating under microscopic lesions were removed,color Doppler ultrasound-guided surgery to assess and postoperative cranial MRI and CT testing,and test results were compared with the preoperative assessment of treatment effect,but did not select the same time using color Doppler ultrasound navigation clinical data of 30 patients as a control group,2 groups of localization,operation time and surgical total removal rate. Results Low-level and high-level gliomas have different characteristics in the ultrasound imaging of 30 patients treated with intraoperative ultrasound navigation,lesions were able to accurately locate,intraoperative color Doppler ultrasound navigation can significantly improve deep glioma operation time and total removal rate. Conclusion Color Doppler ultrasound navigation can significantly reduce deep glioma microsurgery operation time,and real-time monitoring can be done to improve the rate of total resection of tumor.

关 键 词：彩色多普勒超声 超声导航技术 深部神经胶质瘤 显微手术 

分 类 号：R730.264[医药卫生—肿瘤]