郑州大学学报（医学版）2018，Vol.53Issue(3)：388-391,4.DOI:10.13705/j.issn.1671-6825.2017.09.097
神经电生理联合导航技术在岛叶胶质瘤手术中的应用
Intraoperative neuronavigation and neurophysiological monitoring tech-niques involved in resection of insular glioma
摘要
Abstract
Aim:To explore the method to improve the operative effect of insular glioma.Methods:A series of 27 in-sular gliomas patients who underwent the microsurgery using the method of intraoperative neuronavigation and neurophysio-logical monitoring techniques were analyzed retrospectively from September 2014 to March 2016(the electrophysiological neuronavigation group),and 31 surgical patients with insular gliomas without electrophysiologic neuronavigation from Janu-ary 2013 to June 2014 were chosen as control(control group).The surgical approach selection,the degree of tumor resec-tion and postoperative functional defect were specially analyzed.Results:The surgical approach of the electrophysiological neuronavigation group included lateral fissure approach and transcortical fistula approach. According to early postoperative MRI imaging,the total removal rate of the electrophysiological neuronavigation group was 48.1%, which was higher than that(16.1%) of control group(P=0.009). There were 2 cases of new hemiplegia,2 cases of worse hemiplegia compared with preoperation,3 cases of transient speech dysfunction in the electrophysiological navigation group. After 3 months of follow-up,there were still 2 cases of hemiplegia and 1 case of aphasia.Conclusion: The technique of intraoperative neu-ronavigation and neurophysiological monitoring can increase total resection rate.关键词
岛叶/胶质瘤/神经电生理技术/神经导航Key words
insula/glioma/neurophysiological monitoring techniques/neuronavigation分类
医药卫生引用本文复制引用
尤宇,王重韧,赵明,徐欣,韩磊,赵四军..神经电生理联合导航技术在岛叶胶质瘤手术中的应用[J].郑州大学学报（医学版）,2018,53(3):388-391,4.基金项目
河南省医学科技攻关计划项目(201503189) （201503189）
