临床神经外科杂志2012，Vol.9Issue(4)：199-201,3.DOI:10.3969/j.issn.1672-7770.2012.04.003
B超实时监测在颅内低级别AVM切除手术中应用
Application of ultrasound real-time monitoring in low level AVM surgery
高恒 1邹大中 2周新民 1徐伟东 1叶富华 1费小斌1
作者信息
- 1. 214400 东南大学医学院附属江阴医院神经外科
- 2. 214400 东南大学医学院附属江阴医院B超室
- 折叠
摘要
Abstract
Objective To explore the value of combined intraoperative ultrasound real-time monitoring and colorful vascular imaging technology in low level arterionevous malformation ( AVM ) resection operation. Methods 11 cases of low level AVM were totally resected under intraoperatie ultrasound monitoring combined with color vascular imaging technology. The microsurgical technique and results were analyzed retrospectively. Results All patients obtained complete resection with microinvasive technique. Postoperative CTA comfirmed the result of operation. All patients recovered with different grades. Of 2 coma patients, 1 got secondary epilepsy, the other with apathetic and memory decline. Of 3 hemiplegia patients,2 recovered satisfactorily,1 remain grade 3 myodynamia of the controlateral side. The symptom of headache in the other cases were disappeared after operation. No new operation-related symptom occured in this group. Conclusions Intraoperative ultrasound real-time monitoring combined with color vascular imaging techniques could help neurosurgeon in accurate positioning AVM site, and reducing operative injury in operation, especially in unit without neuronavigation system. This technique can also accurately evaluate feeding vessel and resection degree.关键词
颅内动静脉畸形/超声检查/外科学Key words
cerebral arteriovenous malformation/ultrasound/surgery分类
医药卫生引用本文复制引用
高恒,邹大中,周新民,徐伟东,叶富华,费小斌..B超实时监测在颅内低级别AVM切除手术中应用[J].临床神经外科杂志,2012,9(4):199-201,3.
