超声造影在颅内手术中的临床应用进展  

Recent advance in clinical application of contrast-enhanced ultrasound in intracranial surgery

作　　者：张显迪 丁红 Zhang Xiandi;Ding Hong(Department of Ultrasound,Huashan Hospital,Fudan University,Shanghai 200040,China)

机构地区：[1]复旦大学附属华山医院超声医学科,上海200040

出　　处：《中华神经医学杂志》2022年第7期740-743,共4页Chinese Journal of Neuromedicine

摘　　要：近年来,超声造影在颅内手术中的应用日益广泛,应用于颅内肿瘤手术时,可以明确病变位置及肿瘤切除范围;应用于颅内动静脉畸形手术时,能够评估异常血管分布、流速及脑血流重建手术前后脑组织血流灌注的变化;应用于颅脑创伤手术时,则有助于识别有功能脑组织、坏死脑组织及血肿范围。笔者现就超声造影监测脑血流的原理及其在颅内手术中的临床应用进展等进行综述,以期使无创实时的超声造影能在颅内手术中发挥出更大的作用,从而造福患者。In recent years,application of contrast-enhanced ultrasound(CEUS)in intracranial surgery has been increasing.In brain tumor surgery,CEUS is used to estimate the location of lesions and maximal extents of resection.In intracranial arteriovenous malformations surgery,CEUS evaluates the abnormal blood vessels and flow rate and changes of cerebral blood perfusion before and after cerebral revascularization.In traumatic brain surgery,CEUS is helpful in identifying functional brain tissues from necrotic brain tissues and detecting the hematoma scopes.In this paper,principle of CEUS in monitoring cerebral blood flow and its clinical application in intracranial surgery are reviewed,in order to promote the application of CEUS noninvasively in intracranial surgery and benefit patients.

关 键 词：超声造影 颅脑疾病 颅内手术 

分 类 号：R651.1[医药卫生—外科学]