四川医学2012，Vol.33Issue(3)：539-541,3.
实时术中超声引导在脑胶质瘤切除术中的应用
The application of real-time intraoperative sonography in resection of cerebral gliomas
唐仕军 1叶楠 1杨林1
作者信息
- 1. 成都市第三人民医院超声科,四川成都610031
- 折叠
摘要
Abstract
Objective To evaluate the application value of real-time intraoperative sonography in locating cerebral glio-mas and real-time monitoring and assisting the resection. Methods Twenty-two patients who were doubted cerebral gliomas by computed tomography ( CT) or magnetic resonance ( MRI) were involved ( who were postoperative histopathologic examination confirmed). We used ultrasound locate the lesion, understand the size of the lesion, the relationship between lesion and surrounding structures ,guide the surgical path,real-time guide the resection and evaluate the localization of residual tumor tissue in surgery. Results The located accuracy of cerebral gliomas was 100%. All lesions were abnormal echogenic compared with normal brain tissue on ultrasound. These lesions were mostly displayed irregular shapes and indistinct margins. Total removal of the lesion was achieved in 14 cases (64% ) , subtotal removal in 8 cases (36% ) ,in real-time ultrasound-guided in 22 cases of glioma patients. Neurological symptoms were improved in 18 cases (82% ) , unchanged obviously in 4 cases (18% ) in follow-up study. Conclusion Real-time intraoperative ultrasound can locate the lesion reliably and accurately, help protect neurological function and reduce complications in cerebral gliomas operation.关键词
术中超声/脑胶质瘤Key words
intraoperative ultrasonography/cerebral glioma分类
医药卫生引用本文复制引用
唐仕军,叶楠,杨林..实时术中超声引导在脑胶质瘤切除术中的应用[J].四川医学,2012,33(3):539-541,3.
