[1]甘志强 龚 杰 姚国杰 张 戈 黄 成 秦 汉 陈大瑜 马廉亭.PACS系统影像测量在经鼻蝶入路手术治疗鞍区病变中的价值[J].中国临床神经外科杂志,2015,(08):463-465.[doi:10.13798/j.issn.1009-153X.2015.08.006]
 GAN Zhi-qiang,GONG Jie,YAO Guo-jie,et al.Value of measuring the anatomic markers related to operation with PACS software to transsphenoidal surgery for sellar lesions[J].,2015,(08):463-465.[doi:10.13798/j.issn.1009-153X.2015.08.006]
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PACS系统影像测量在经鼻蝶入路手术治疗鞍区病变中的价值()
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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08期
页码:
463-465
栏目:
论著
出版日期:
2015-08-25

文章信息/Info

Title:
Value of measuring the anatomic markers related to operation with PACS software to transsphenoidal surgery for sellar lesions
文章编号:
1009-153X(2015)08-0463-03
作者:
甘志强 龚 杰 姚国杰 张 戈 黄 成 秦 汉 陈大瑜 马廉亭
430070 武汉,广州军区武汉总医院神经外科(甘志强、龚杰、姚国杰、张 戈、黄 成、秦 汉、陈大瑜、马廉亭)
Author(s):
GAN Zhi-qiang GONG Jie YAO Guo-jie ZHANG Ge HUANG Cheng QIN Han CHEN Da-yu Ma Lian-ting.
Department of Neurosurgery, Wuhan General Hospital, Guangzhou Command, PLA, Wuhan 430070, China
关键词:
鞍区病变经鼻蝶入路显微手术医学影像存储与通信系统
Keywords:
Sellar lesions Preoperative measure Anatomic markers Transsphenoidal surgery PACS
分类号:
R 739.41; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2015.08.006
文献标志码:
A
摘要:
目的 探讨应用PACS系统测量相关解剖标志在鞍区病变经鼻蝶入路手术中的价值。方法 2011年1月至2014年12月经蝶入路显微手术治疗鞍区病变264例,术前应用PACS系统根据患者CT及MRI影像测量经鼻至蝶、鞍区手术相关的解剖学和影像学参数,进行术前评估及制定手术计划,指导术中精确定位和确定手术范围。结果 本组病变直径为5~65 mm,其中<10 mm 86例,10~30 mm 125例,>30 mm 53例。两侧颈内动脉内侧间的距离为(18.5±3.4)mm,垂体窝矢状径的长度为(11.2±2.3)mm,鼻小柱根部到鞍底中点的长度为(70.8±20.8)mm,蝶窦内鞍底部骨嵴与中线的相对距离为(3.1±2.2)mm。术后3 d MRI复查显示病变全切除 202例,次全切除62例。术后病理检查证实249例为垂体腺瘤,13例为Rathke囊肿,2例为垂体脓肿。本组无死亡病例,也无严重并发症。结论 PACS系统影像测量在经鼻蝶入路手术治疗鞍区病变术前评估中有重要的参考价值,为术前制定手术计划增加评估手段和直观方法,有助于术中精确定位和确定手术范围。
Abstract:
Objective To investigate the clinical value of measuring the anatomic markers related to the operation with picture archiving and communication system (PACS) software to the transsphenoidal surgery for the sellar lesions. Method The MRI and CT data were communicated to the PACS software to measure distance among the anatomic markers related to transsphenoidal surgery before the operation in 264 patients with sellar lesions, who were followed up with it. Results The tumor size, the anatomic relationships among internal carotid arteries, the sellar floor and the tip of the nose were exactly showed in millimeter by PACS software. These anatomic data were applicated to preoperative assessment and making surgical plan. The transsphenoidal surgery was successfully performed in 264 patients with sellar lesions, of whom, 202 received total resection of the lesions and 62 subtotal. Conclusion The preoperative measure the anatomic markers related to the operation is very helpful to the transsphenoidal surgery in the patients with sellar lesions.

参考文献/References:

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备注/Memo

备注/Memo:
通讯作者:龚 杰,E-mail:gongjie_china@163.com
更新日期/Last Update: 2016-08-25