术中超声与神经导航在颅内肿瘤性病变切除术中的价值

发布时间：2018-03-08 04:17

  本文选题：超声检查　切入点：神经导航　出处：《中国介入影像与治疗学》2015年12期 　论文类型：期刊论文

【摘要】：目的对比分析术中超声与神经导航在颅内肿瘤性病变切除过程中的价值。方法对128例(132个病灶)术前诊断为颅内肿瘤的患者分别于骨瓣打开前后、病灶切除过程中、病灶切除后行术中超声及神经导航定位探查。结果在骨瓣打开后132个肿瘤病灶的术中超声均准确定位,术中监测病灶残留程度几乎与病理及术后MR结果相符;神经导航在骨瓣打开前均能准确定位病灶,但骨瓣打开后定位病灶及术中监测病灶残留程度部分与病理及术后MR结果有偏差。在定位小病灶(≤1cm)及监测胶质瘤残留程度时术中超声较神经导航更为准确,而在定位大病灶(1cm)及监测其他类型病灶切除时两者无明显差异。结论神经导航可在骨瓣打开前准确定位病灶,但在骨瓣打开后术中超声定位更为精确,尤其在定位小病灶(≤1cm)及监测胶质瘤残留程度时术中超声较神经导航更有意义。
[Abstract]:Objective to compare the value of intraoperative ultrasound and neuronavigation in the resection of intracranial neoplasms. Results the intraoperative ultrasound localization of 132 tumor lesions after bone flap opening was accurate, and the residual degree of the lesions monitored during the operation was almost consistent with the pathological and postoperative Mr results. Neuronavigation could accurately locate the lesion before the bone flap was opened. However, the localization of lesion after bone flap opening and the monitoring of residual degree of lesion during operation were different from pathological and postoperative Mr results. Ultrasound was more accurate than neuronavigation in locating small lesion (鈮，

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