[1]王 旭 牛洪泉 陶安宇 雷 霆 郭东生 舒 凯 万 锋 蒋 伟.颅内胶质瘤术中超声的临床应用[J].中国临床神经外科杂志,2015,(04):198-200.[doi:10.13798/j.issn.1009-153X.2015.04.002]
 WANG Xu,NIU Hong-quan,TAO An-yu,et al.Application of intraoperative ultrasound to microsurgery for intracranial gliomas[J].,2015,(04):198-200.[doi:10.13798/j.issn.1009-153X.2015.04.002]
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颅内胶质瘤术中超声的临床应用()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2015年04期
页码:
198-200
栏目:
论著
出版日期:
2015-04-30

文章信息/Info

Title:
Application of intraoperative ultrasound to microsurgery for intracranial gliomas
文章编号:
1009-153X(2015)04-0198-03
作者:
王 旭 牛洪泉 陶安宇 雷 霆 郭东生 舒 凯 万 锋 蒋 伟
430030 武汉,华中科技大学同济医学院附属同济医院神经外科[王 旭(硕士研究生,现在襄阳市中心医院工作)、牛洪泉、陶安宇、雷 霆、郭东生、舒 凯、万 锋、蒋 伟]
Author(s):
WANG Xu NIU Hong-quan TAO An-yu LEI Ting GUO Dong-sheng SHU Kai WAN Feng JIANG Wei.
Department of Neurosurgery, Tongji Hospital, Tongji Medical School, Huazhong University of Sciences and Technology, Wuhan 430030, China
关键词:
胶质瘤显微手术术中超声
Keywords:
Intracranial glioma Microsurgery Intraoperative ultrasound
分类号:
R739.41;R651.1+1
DOI:
10.13798/j.issn.1009-153X.2015.04.002
文献标志码:
A
摘要:
目的 探讨颅内胶质瘤术中超声的使用方法及其价值。方法 将2011年2月至2013年2月收治的72例颅内胶质瘤手术患者分为超声组(33例,使用术中超声)和对照组(39例,未使用术中超声)。超声组使用术中超声对肿瘤进行定位,引导术者选择合适的手术入路,并对切除后的瘤腔进行探查,实现最大程度地安全切除肿瘤。对比分析两组患者肿瘤的定位率和全切率以及手术时间。结果 超声组肿瘤定位准确率(100%)显著高于对照组(82.1%,32/39;PP<0.05),超声组手术时间[(85.7±31.1)min]明显少于对照组[(117.4±40.8)min;>P<0.05]。低级别和高级别胶质瘤在超声图像上有不同的特征性表现。>结论 术中超声具有低成本、准备时间短、方便快捷、实时监测、可重复和无辐射等优点,是胶质瘤手术重要的辅助工具,在胶质瘤定位和实时监测残余肿瘤方面具有重要价值。
Abstract:
Objective To investigate the technique of intraoperative ultrasound and its value to the microsurgery for intracranial gliomas. Methods The clinical data of 72 patients with intracranial gliomas, who underwent microsurgery from February, 2011 to February, 2013, were analyzed retrospectively. Of 72 patients, 33 (observed group) underwent microsurgery under intraoperative ultrasound guidance and 39 (control group) did without ultrasound guidance. The accurate rate of locating tumors and the rate of total resection of the tumors and operative duration were analyzed and compared between both the groups. Results The accurate rate of locating tumors (100%) was significantly higher in the observed group than that (82.1%) in the control group (P<0.05). the="" rate="" of="" total="" resection="" tumors="" (78.8%)="" was="" significantly="" higher="" in="" observed="" group="" than="" that="" (48.7%)="" control="" (P<0.05). the="" operative="" duration="" [(85.7±31.1)="" min]="" was="" significantly="" shorter="" in="" observed="" group="" than="" that="" [(117.4±40.8)="" control="" (P<0.05). the="" ultrasound="" characteristics="" of="" low-grade="" gliomas="" were="" different="" from="" those="" high-grade="" gliomas.="">Conclusions Intraoperative ultrasound has the advantages such as low-cost, short time of preoperative preparation, real-time monitoring, repeatability and no radiation. The intraoperative ultrasound is very helpful to the enhancement of curative effect of microsurgery on the intracranial gliomas.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目:国家临床重点专科项目
通讯作者:牛洪泉,E-mail:hqniu@tjh.tjmu.edu.cn
更新日期/Last Update: 2016-04-25