神经导航辅助显微外科手术切除颅内海绵状血管瘤38例临床体会  

Neuronavigation-assisted microsurgery to remove intracranial cavernous angioma 38 clinical experiences

作　　者：李正阳 吾太华 左德献 马赞 LI Zhengyang;WU Taihua;ZUO Dexian;MA Zan(Department of Neurosurgery,Guangdong 999 brain Hospital,Guangzhou,Guangdong,510510,China)

机构地区：[1]广东三九脑科医院神经外科,广东广州510510

出　　处：《当代医学》2023年第12期108-111,共4页Contemporary Medicine

摘　　要：目的探讨神经导航辅助显微外科手术切除颅内海绵状血管瘤(CA)的方法和治疗效果。方法回顾性分析2012年6月至2018年2月本院收治的38例使用神经导航辅助进行的CA手术切除患者的临床资料,分析影像学特征及治疗效果。结果用神经导航对38例颅内CA的定位准确。CA病灶全切除35例,次全切除3例。术后2例出现颅内感染,经腰大池置管痊愈。新增1例单侧上肢轻瘫,死亡1例。随访10~56个月,平均(25±1)个月。术后癫痫消失8例,1例服药可控。2例偏瘫均有不同程度改善。结论颅内CA具有特征性影像学表现,MRI能明确颅内CA诊断。用神经导航辅助对颅内CA定位准确,减轻手术对脑组织损伤,可显著增强颅内CA显微外科手术治疗效果。Objective To investigate the method and therapeutic effect of neuronavigation assisted microsurgery in the resection of intracranial cavernous angioma(CA).Methods From June 2012 to February 2018,the clinical data of 38 patients with intracranial CA resection assisted by neuronavigation were retrospectively analyzed,and the imaging features and therapeutic effects were analyzed.Results Neuronavigation was used to lo-cate intracranial CA accurately in 38 cases.CA lesions were completely resected in 35 cases and subcompletely resected in 3 cases.Intracranial infection occurred in 2 cases after operation and was cured by catheter in lumbar cisterna.There was one new case of unilateral upper limb paresis and one death.Follow-up ranged from 10 to 56 months,with an average of(25±1)months.Epilepsy disappeared in 8 cases and was controllable in 1 case.2 cases of hemiplegia were improved to different degrees.Conclusion Intracranial CA has characteristic imaging manifestations and MRI can be used to diagnose intracranial CA.Neuronavigation can be used to accurately locate intracranial CA,reduce the injury of brain tissue,and significantly enhance the effect of intracranial CA microsurgery.

关 键 词：海绵状血管瘤 影像学 神经导航 显微外科手术 

分 类 号：R739.41[医药卫生—肿瘤]