[1]吴世强、焦利武、肖群根、李 宇、李朝曦、淦 超、舒 凯、雷霆.Remebot机器人辅助下立体定向活检术的临床应用[J].中国临床神经外科杂志,2017,(11):751-753.[doi:10.13798/j.issn.1009-153X.2017.11.006]
 WU Shi-qiang,JIAO Li-wu,XIAO Qun-gen,et al.Remebot robot-assisted stereotactic biopsy (a report of 12 cases)[J].,2017,(11):751-753.[doi:10.13798/j.issn.1009-153X.2017.11.006]
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Remebot机器人辅助下立体定向活检术的临床应用()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2017年11期
页码:
751-753
栏目:
论著
出版日期:
2017-11-25

文章信息/Info

Title:
Remebot robot-assisted stereotactic biopsy (a report of 12 cases)
文章编号:
1009-153X(2017)11-0751-03
作者:
吴世强、焦利武、肖群根、李 宇、李朝曦、淦 超、舒 凯、雷霆
430030 武汉,华中科技大学同济医学院附属同济医院神经外科(吴世强、焦利武、肖群根、李 宇、李朝曦、淦 超、舒 凯、雷霆) 通讯作者:舒 凯,E-mail:kshu@tjh.tjmu.edu.cn
Author(s):
WU Shi-qiang JIAO Li-wu XIAO Qun-gen LI Yu LI Chao-xi GAN Chao SHU Kai LEI Ting.
Department of Neurosurgery ,Tongji Hospital ,Tongji Medical School, Huazhong University of Sciences and Technology ,Wuhan 430030, China
关键词:
脑内病变Remebot机器人立体定向活检术效果
Keywords:
Robotics Stereotactic biopsy Intracranial lesions Diagnosis
分类号:
R 739.41; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2017.11.006
文献标志码:
A
摘要:
目的 探讨Remebot机器人辅助下立体定向活检术的临床应用价值。方法 回顾性分析2016年10月至2017年2月收治的12例颅内病变的临床资料,均在Remebot机器人辅助下进行立体定向活检术。结果 病灶位于额叶1例、颞叶2例、顶叶2例、脑干及丘脑病变2例,多发病灶5例。术后病理结果显示:低级别星形细胞瘤(WHO Ⅱ级)4例,间变性星形细胞瘤(WHO Ⅲ级)5例,神经母细胞瘤 1例,假性进展1例,高级别非霍奇金B细胞淋巴瘤1例。术后发生症状性出血1例。结论 Remebot机器人辅助下进行立体定向活检手术,不需要传统立体定向框架,可简化手术操作步骤,提高手术精确度。
Abstract:
Objective To explore the clinical values of Remebot robot-assisted stereotactic biopsy to the diagnosis of intracranial lesions. Methods Remebot robot-assisted stereotactic biopsy was performed in 12 patients with intracranial lesions including 1 with frontal lobe lesion in 1 patient, 2 with temporal lobe lesions, 2 with parietal lobe lesions, 2 with brainstem and thalamus lesions and 5 with multiple intracranial regions lesions from October, 2016 to February, 2017. Results All the biopsy was successfully performed and the operative duration was (29±5) minutes. The postoperative pathological results showed that of 12 patients with intracranial lesions, 4 had low grade astrocytomas, 5 with anaplastic astrocytomas (WHO grade Ⅲ), 1 neuroblastoma, 1 pseudoprogression and 1 non-Hopkin’s B cell lymphoma. There was symptomatic postoperative bleeding in 1 patient. Conclusions The Remebot robot-assisted stereotactic biopsy is an important medical auxiliary technology in the patients with intracranial lesions and should be clinically spread widely because it can reduce the patients’ pain, simplify the procedure of operation, enhance the accuracy of operation, provide the basis for next step the treatment and shorten the operative time.

参考文献/References:

[1] Lozano AM, Gildenberg PL, Tasker RR. Textbook of stereo- tactic and functional neurosurgery [J]. Mayo Clin Proc, 2009, 73(6): 2897-2924.
[2] Meshkini A, Shahzadi S, Alikhah H, et al. Role of stereo- tactic biopsy in histological diagnosis of multiple brain lesions [J]. Asian J Neurosurg, 2013, 8(2): 69-73.
[3] Lefranc M, Capel C, Pruvot-Occean AS, et al. Frameless robotic stereotactic biopsies: a consecutive series of 100 cases [J]. J Neurosurg, 2015, 122(2): 342-352.
[4] 刘钰鹏,田增民,惠 瑞,等. Remebot无框架脑立体定向 手术系统的临床应用研究[J]. 中华外科杂志,2016,54 (5):389-390.
[5] 卢旺盛,秦舒森,刘钰鹏,等. Remebot无框架脑立体定向 手术临床分析[J]. 中国微侵袭神经外科杂志,2017,22 (2):66-69.
[6] Dammers R, Schouten JW, Haitsma IK, et al. Towards im- proving the safety and diagnostic yield of stereotactic bio- psy in a single centr [J]. Acta Neurochir (Wien), 2010, 152 (11): 1915-1921.
[7] 于 新,刘宗惠. CT、MRI引导立体定向脑活检术的临床 研究[J]. 中国神经精神疾病杂志,2001,27(5):352-354.
[8] Woodworth GF, Mcgirt MJ, Samdani A, et al. Frameless image-guided stereotactic brain biopsy procedure: diagnos- tic yield, surgical morbidity, and comparison with the frame-based technique [J]. J Neurosurg, 2006, 104(2): 233.
[9] Tsermoulas G, Mukerji N, Borah AJ, et al. Factors affecting diagnostic yield in needle biopsy for brain lesions [J]. Br J Neurosurg, 2013, 27(2): 207-211.
[10] Michael S, John B, Mcdermott MW. Techniques for the Application of Stereotactic Head Frames Based on a 25-Year Experience [J]. Cureus, 2016, 8(3): e543.
[11] Malone H, Yang J, Hershman DL, et al. Complications following stereotactic needle biopsy of intracranial tumors [J]. World Neurosurg,2015,84(4):1084.
[12] Chen CC, Hsu PW, Erich Wu TW, et al. Stereotactic brain biopsy: Single center retrospective analysis of complications [J]. Clin Neurol Neurosurg, 2009, 111(10): 835-839.

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备注/Memo

备注/Memo:
基金项目:华中科技大学同济医学院研究型临床医师资助计划项目(5001540025)
更新日期/Last Update: 2017-09-12