[1]刘 宁 闫长祥.脑深部肿瘤的神经导航辅助手术治疗[J].中国临床神经外科杂志,2016,(10):593-595.[doi:10.13798/j.issn.1009-153X.2016.10.007]
 LIU Ning,YAN Chang-xiang..Neuronavigator-assisted microsurgery for tumors in deep regions of brain[J].,2016,(10):593-595.[doi:10.13798/j.issn.1009-153X.2016.10.007]
点击复制

脑深部肿瘤的神经导航辅助手术治疗()
分享到:

《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2016年10期
页码:
593-595
栏目:
论著
出版日期:
2016-10-24

文章信息/Info

Title:
Neuronavigator-assisted microsurgery for tumors in deep regions of brain
文章编号:
1009-153X(2016)10-0593-03
作者:
刘 宁 闫长祥
100093 北京,首都医科大学第十一临床医学院、北京三博脑科医院神经外科
Author(s):
LIU Ning YAN Chang-xiang.
Department of Neurosurgery, Sanbo Brain Hospital, Capital Medical University, Beijing 100093, China
关键词:
脑深部肿瘤神经导航技术显微手术
Keywords:
Tumors Microsurgery Neuronavigation Deep regions of brain
分类号:
R 739.41; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2016.10.007
文献标志码:
A
摘要:
目的 探讨神经导航辅助下手术治疗脑深部肿瘤的方法及其疗效。方法 对60例脑深部肿瘤患者实施神经导航辅助手术治疗,个体化设计手术切口,术中对肿瘤及其周围关系进行精准判断,动态监测肿瘤切除程度,观察术后肿瘤影像切除率及临床症状改善情况。结果 35例胶质瘤中,34例达到影像学全部切除,1 例为次全切除;2例转移瘤获得影像学全切;其余良性肿瘤均获得全部切除。术后临床症状改善55例,无变化4例,恶化1例。结论 神经导航能精确定位脑深部肿瘤,合理设计手术方案,降低手术并发症。
Abstract:
Objective To explore the superiority of neuronavigator-assisted microsurgery for the tumors in the deep regions of brain. Methods The neuronavigator-assisted microsurgery was performed in 60 patients with tumors in the deep regions of brain. Individualized operative incision was designed. The tumors and their surroundings were punctually identified and the resection-degree of the tumors was uninterruptedly monitored during the operation. Results Of 35 patients with gliomas, 34 received total removal of the tumors and 1 subtotal. The metastatic tumors were totally removed in 2 patients and the benign tumors were totally removed in 23 patients. The clinical symptoms were improved in 55 patients, unchanged in 4 and deteriorated in 1 after the operation. Conclusions Neuronavigation system is helpful to precise location of the tumors in the deep regions of brain, reasonable designing of the operative plan and decrease in the operative complication.

参考文献/References:

[1] 刘 岳,李彩丽,汪 纯,等. 导航引导下保留侧脑室完整 的颞叶癫痫手术26例体会[J]. 中国临床神经外科杂志, 2013,18:89-91.
[2] 刘 岳,吴高贤,戢翰升,等. 神经导航手术治疗难治性颞 叶癫痫(附56例报告)[J]. 中国临床神经外科杂志,2013, 18:152-153.
[3] 张严国,韦军武,吴京雷,等. 导航辅助钻孔引流术治疗高 血压性基底节区出血的临床研究[J]. 中国临床神经外科 杂志,2013,18:353-355.
[4] 余龙洋,李亚楠,韩国胜,等. 神经导航多模态融合技术在 窦镰旁脑膜瘤手术中的初步应用[J]. 中国临床神经外科 杂志,2015,20:75-77.
[5] 吴京雷,张严国,罗 明,等. 神经导航在经鼻蝶垂体腺瘤 切除术中的应用体会[J]. 中国临床神经外科杂志,2013, 18:495-497.
[6] Nishihara M, Takeda N, Harada T, et al. Diagnostic yield and morbidity by neuronavigation-guided frameless stereotactic biopsy using magnetic resonance imaging and by frame- based computed tomography-guided stereotactic biopsy [J]. Surg Neurol Int, 2014, 5(Suppl 8): S421-426.
[7] Stidd DA, Wewel J, Ghods AJ, et al. Frameless neuronavi- gation based only on 3D digital subtraction angiography using surface-based facial registration [J]. J Neurosurg, 2014, 121(3): 745-750.
[8] Waran V, Chandran H, Devaraj P, et al. Neuronavigation with the universal probe to access intracranial targets [J]. J Neurolog Surg, 2014, 75(6): 422-426.
[9] Alarcon C, de Notaris M, Palma K, et al. Anatomic study of the central core of the cerebrum correlating 7-T magnetic resonance imaging and fiber dissection with the aid of a neuronavigation system [J]. Neurosurgery, 2014, 10 (Suppl): 2294-2304.
[10] Wu JS, Lu JF, Gong X, et al. Neuronavigation surgery in China: reality and prospects [J]. Chin Med J, 2012, 125(24): 4497-503.
[11] Garlapati RR, Roy A, Joldes GR, et al. More accurate neu- ronavigation data provided by biomechanical modeling instead of rigid registration [J]. J Neurosurg, 2014, 120(6): 1477-1483.
[12] Vabulas M, Kumar VA, Hamilton JD, et al. Real-time atlas- based stereotactic neuronavigation [J]. Neurosurgery, 2014, 74(1): 128- 134.
[13] Sommer B, Kasper BS, Coras R, et al. Surgical management of epilepsy due to cerebral cavernomas using neuronaviga- tion and intraoperative MR imaging [J]. Neurolog Res, 2013, 35 (10 ): 1076-1083.
[14] 章 翔,张剑宁,费 舟,等. 神经导航显微外科在脑肿瘤 手术中的应用[J]. 中华医学杂志,2002,82(4):219-221.
[15] 廖晓灵,黄光富,袁利民. 神经导航下显微手术切除脑深 部病变[J]. 中国临床神经外科杂志,2010,15(6):324- 326.
[16] Herbowski L, Sagan L, Szy?ak R, et al. Intraoperative C-arm fluoroscopy-based 3D navigation for intraventricular endo- scopic intervention [J]. Bri J Neurosurg, 2013, 27: 537-539.
[17] Moses ZB, Mayer RR, Strickland BA, et al. Neuronavigation in minimally invasive spine surgery [J]. Neurosurg Focus, 2013, 35(2): E12.
[18] Garlapati RR, Roy A, Joldes GR, et al. More accurate neu- ronavigation data provided by biomechanical modeling instead of rigid registration [J]. J Neurosurg, 2014, 120(6): 1477-1483.

备注/Memo

备注/Memo:
通讯作者:闫长祥,E-mail:361585946@qq.com
更新日期/Last Update: 2016-10-25