ROSA机器人辅助下立体定向活检术在脑内病变诊断中的作用  

ROSA robot-assisted stereotactic biopsies in patients with intracranial lesions(report of 18 cases)

作　　者：王逸鹤[1] 单永治[1] 赵国光[1] 樊晓彤[1] 安阳[1] 卢超[1] WANG Yi-he SHAN Yong-zhi ZHAO Guo-guang FAN Xiao-tong AN Yang LU Chao(Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China)

机构地区：[1]首都医科大学宣武医院神经外科,北京100053

出　　处：《中国临床神经外科杂志》2017年第1期11-13,共3页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨ROSA机器人引导下立体定向活检术方法及其在脑内病变诊断中的作用。方法回顾性分析2015年6月至2016年9月收治的18例脑内病变患者的临床资料,所有患者均在ROSA机器人辅助下行立体定向活检术。结果 18例活检术阳性率为100%,其中淋巴瘤7例,低级别胶质瘤1例,胶质母细胞瘤4例,间变星形细胞瘤2例,弥漫性星形细胞瘤1例,病毒性脑炎1例,炎性脱髓鞘1例,亚急性出血性脑梗死1例。18例平均手术时间为80 min。术后均未发生永久性神经功能障碍,也无颅内感染;1例术后复查CT示无症状性颅内出血。结论 ROSA机器人辅助下立体定向活检术具有安全、精确、省时等优势,可为脑内病变诊断提供有力技术支持。Objective To explore the safety, precision and reliability of ROSA robot-assisted stereotactic biopsies in the patients with intracranial lesions. Method The clinical data of 18 patients with intracranial lesions in whom ROSA robot-assisted stereotactic biopsies were performed from June, 2015 to September, 2016 in our hospital were analyzed retrospectively. Results The positive rate of the biopsies was 100% in 18 patients. Histological diagnosis was established in all the patients. No permanent complication related to the biopsies was observed. The cerebral hemorrhage near the punctured area was observed by post-operative CT scan in 1 patient. No intracranial infection was found in all the patients. The mean operating time was about 80 minutes. Conclusion ROSA robot-assisted stereotactie biopsies is a reliable, safe and precise method to diagnose the intracranial lesions.

关 键 词：脑内病变 立体定向 ROSA机器人 活检术 

分 类 号：R651.11[医药卫生—外科学]