全息影像技术在颅内肿瘤手术中的应用  

Application of holographic image technology in intracranial tumor surgery

作　　者：李霄[1] 郝强[1] 金泽平 季楠[1] Li Xiao;Hao Qiang;Jin Zeping;Ji Nan(Department of Neurosurgery,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China)

机构地区：[1]首都医科大学附属北京天坛医院神经外科,北京100070

出　　处：《肿瘤研究与临床》2023年第1期35-38,共4页Cancer Research and Clinic

摘　　要：目的探讨全息影像技术在颅内肿瘤手术患者中应用的可行性及临床价值。方法选取首都医科大学附属北京天坛医院2020年11月至2021年3月收治的颅内肿瘤患者40例,采用随机数字表法将患者分为试验组(20例)、对照组(20例)。试验组患者行全息影像技术辅助开颅手术,对照组患者行常规开颅手术。记录患者术前及术后7 d的Karnofsky功能状态评分,应用焦虑自评量表评估患者家属的焦虑情绪。结果全部患者术后12 h复查头颅CT均无瘤腔高密度影,术后72 h复查头颅磁共振成像(MRI),试验组17例肿瘤全切除,3例为大部分切除;对照组16例肿瘤全切除,4例大部分切除。试验组1例术后左下肢肌力Ⅱ级,出院时恢复至Ⅴ-级。对照组2例术后左侧肢体肌力Ⅲ级,出院时恢复至Ⅴ级。术前试验组与对照组Karnofsky评分为60、70、80、90、100分的患者分别为1、5、8、6、0例和0、4、9、6、1例,差异无统计学意义(P>0.05);术后试验组与对照组Karnofsky评分为50、60、70、80、90、100分的患者分别为1、0、0、7、9、3例和0、3、6、4、5、2例,差异有统计学意义(P=0.018)。试验组手术前后Karnofsky评分差异有统计学意义(P=0.029),对照组手术前后差异无统计学意义(P=0.241)。试验组患者家属无焦虑、轻度焦虑、中度焦虑、重度焦虑患者术前分别为8、9、2、1例,术后分别为9、9、2、0例;对照组患者家属无焦虑、轻度焦虑、中度焦虑、重度焦虑患者术前分别为3、4、8、4例,术后分别为2、5、9、4例。试验组术前焦虑水平较对照组低,差异有统计学意义(P=0.016);试验组患者术后焦虑水平较对照组低,差异有统计学意义(P=0.002)。结论全息影像技术在颅内肿瘤术前可以辅助制订精准的手术方案;术中可直观地显示肿瘤与周围重要组织的解剖关系,减少手术副损伤并可减少患者家属的焦虑情绪。Objective To explore the feasibility and clinical value of holographic image technology in intracranial tumor surgery.Methods A total of 40 patients with intracranial tumors in Beijing Tiantan Hospital,Capital Medical University from November 2020 to March 2021 were randomly divided into the experimental group(20 cases)and the control group(20 cases)based on the random number table.Patients in the experimental group underwent craniotomy assisted by holographic technology,while patients in the control group underwent conventional craniotomy.The Karnofsky performance status scores of patients before the operation and 7 days after the operation were recorded,and the self-rating anxiety scale was applied to evaluate the anxiety of the patients'families.Results The head CT 12 h after surgery showed no tumor cavity hyperdensity in all patients.The head magnetic resonance imaging(MRI)72 h after surgery revealed 17 cases of total resection and 3 cases of subtotal resection in the experimental group;in the control group,there were 16 cases of total resection and 4 cases of subtotal resection.In the experimental group,1 patient's left lower limb muscle strength was gradeⅡafter the operation and recovered to gradeⅤ-at discharge.In the control group,the left limb muscle strength of 2 patients was gradeⅢafter the operation and recovered to gradeⅤat discharge.The patients with Karnofsky scores of 60,70,80,90,100 scores were found in 1 case,5 cases,8 cases,6 cases,0,respectively of the experimental group and 0,4 cases,9 cases,6 cases,1 case,respectively of the control group before the operation,and the difference was statistically significant(P>0.05);the patients with Karnofsky scores of 50,60,70,80,90,100 scores were found in 1 case,0,0,7 cases,9 cases,3 cases,respectively of the experimental group and 0,3 cases,6 cases,4 cases,5 cases,2 cases,respectively of the control group after the operation,and the difference was statistically significant(P=0.018).The difference of Karnofsky score before and after the operation i

关 键 词：脑肿瘤 全息摄影术 全息术 全息学 神经外科手术 

分 类 号：R739.41[医药卫生—肿瘤]