多技术辅助下幕上胶质瘤的显微外科治疗  

Microsurgical treatment of supratentorial gliomas with multi-technique assistance

作　　者：孙锦章[1] 赵兵[1] 李德坤[1] 谭捷[2] 仰鹏志[1] 谢永胜[1] Sun Jinzhang;Zhao Bing;Li Dekun;Tan Jie;Yang Pengzhi;Xie Yongsheng(Department of Neurosurgery;Department of Ultrasonography, the Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230601, China)

机构地区：[1]安徽医科大学第二附属医院神经外科,合肥230601 [2]安徽医科大学第二附属医院超声科,合肥230601

出　　处：《中国微侵袭神经外科杂志》2018年第6期266-269,共4页Chinese Journal of Minimally Invasive Neurosurgery

摘　　要：目的探讨神经导航联合术中超声多技术辅助下切除幕上脑胶质瘤的临床疗效。方法将53例幕上胶质瘤手术病人按手术方式不同分成两组,其中采取神经导航联合术中超声多技术辅助显微镜下切除肿瘤(多技术辅助组)26例,单纯显微镜下切除肿瘤(显微镜组)27例。比较分析两组病人的肿瘤定位准确率、手术全切除率、术后并发症发生率、手术时间、住院时间、术后3个月KPS评分等差异。结果多技术辅助组肿瘤定位准确率、肿瘤全切除率及术后3个月KPS评分均明显高于显微镜组,差异有统计学意义(P<0.05)。两组在术后并发症、手术时间和住院时间方面差异无统计学意义(P>0.05)。结论神经导航联合术中超声多技术辅助下显微手术切除幕上胶质瘤,临床疗效肯定,值得推广应用。Objective To investigate the clinical efficacy of resecting supratentorial gliomas assisted by neuronavigation combined with intraoperative ultrasound. Methods Fifty-three patients with supratentorial gliomas were divided into two groups according to different surgical methods. Twenty-six patients underwent mirosurgery assisted with neuronavigation and intraoperative ultrasound（ multi-technique group）, and 27 patients underwent surgery only under microscope（ microscope group）. The accuracy of tumor location, total resection rate, postoperative complications, operation time, hospitalization time and KPS scores were analyzed and compared between the two groups. Results The accuracy rate of tumor location, total tumor resection rate and KPS scores 3 months after operation in multi-technique group were significantly higher than those in microscope group, and the difference was statistically significant（P 〈0.05）. There was no statistical significance in the differences of postoperative complications, operation time and hospitalization time between the two group（P〉 0.05）. Conclusion The clinical efficacy of microsurgery assisted with neuronavigation and intraoperative ultrasound is confirmed for supratentorial gliomas, and it is worthy of popularization clinically.

关 键 词：神经胶质瘤 幕上 超声检查 术中 神经导航 显微外科手术 

分 类 号：R651.11[医药卫生—外科学] R739.41[医药卫生—临床医学]