临床神经外科杂志2013，Vol.10Issue(3)：166-168,3.DOI:10.3969/j.issn.1672-7770.2013.03.013
螺旋CT血管造影及三维重建技术辅助脑深部肿瘤显微手术的应用研究
Clinical application of spiral CT angiography and three-dimensional reconstruction in the microsurgery of tumors in deep brain
魏栋 1胡卫星 1顾培元 1李猛 1幸标 1张寒 1陈功1
作者信息
摘要
Abstract
Objective To explore the application of spiral CT angiography and threedimensional reconstruction(3D-CTA) in the microsurgery of tumors in deep brain.Methods The clinical data of 27 patients with tumors in deep brain,treated by microsurgery assisted with 3D-CTA,were analyzed retrospectively to evaluate the preoperative 3D reconstruction effect and the effect after operation.Results The preoperative 3 D images of all tumors can clearly demonstrate the site,size,shape and adjacent vessels and bone,which were in accord with the facts observed during the operation.In the 27 cases,23 patients achieved gross total resection,3 patients achieved subtotal resection and 1 patients achieved partial resection;After the operation,25 patients relieved or remain the same,while 2 patients became worsen.No dead case occurred.22 cases were good during the follow up 1 month after the operation.Conclusion 3D-CTA can provide 3D images of tumor and adjacent vessels and the skull,which can also be subject to adjustment,measurement and Simulation of operation approach.It provides a visual basis for individual treatment of the tumors in deep brain to choose the best operation approach and reduce the intraoperative risk.关键词
3D-CTA/脑深部肿瘤/显微手术Key words
3D-CTA/ tumors in deep brain/ microsurgery分类
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魏栋,胡卫星,顾培元,李猛,幸标,张寒,陈功..螺旋CT血管造影及三维重建技术辅助脑深部肿瘤显微手术的应用研究[J].临床神经外科杂志,2013,10(3):166-168,3.
