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神经导航联合脑皮质电图监测在切除脑功能区胶质瘤中的应用
引用本文:胡文忠,曾现伟,刘红林,陈小兵,段国庆. 神经导航联合脑皮质电图监测在切除脑功能区胶质瘤中的应用[J]. 中国综合临床, 2011, 27(3). DOI: 10.3760/cma.j.issn.1008-6315.2011.03.030
作者姓名:胡文忠  曾现伟  刘红林  陈小兵  段国庆
作者单位:1. 河南大学淮河医院神经外科,开封,475000
2. 潍坊医学院附属医院神经外科
摘    要:目的 探讨神经导航联合脑皮质电图监测在脑功能区肿瘤手术中的作用和意义.方法 脑功能区脑胶质瘤患者36例,在神经导航联合脑皮质电图监测下进行显微外科手术,观察其手术效果及并发症发生率.结果 神经导航注册精度位(2.0±0.5)mm,利用导航设计的皮瓣与骨瓣完全符合手术要求;术中肿瘤全切除31例,次全切除5例,术后神经功能改善,无明显并发症,无死亡.结论 术中电生理技术能对导航确定的功能区进行再确认,解决术中脑移位及功能构建问题,有助于提高肿瘤全切除率及减少并发症.
Abstract:
Objective To investigate the effects and significance of neuronavigation and electrocorticography monitoring in resection of eloquent brain glioma. Methods Thirty-six cases with intracranial tumors accepted microneurosurgery resection under neuronavigation and electrocorticography monitoring. The clinical data and postoperative outcome were analyzed. Results The mean registration error was (2.0 ±0. 5)mm in all operations and all skin flaps and bone windows designed by neuronavigation could fit the operation demands. Total resectin of the tumor was achieved in 31 cases and subtotal resection in 5 cases. Neurological symptoms improved and no severe complications or death happened in all patients. Conclusion Neuronavigation combined with electrocorticography monitoring can accurately locate the eloquent glioma and retrieve the brain shift. This method is a real-time technique and has functional test ability. It can improve the total removal rate and decrease the mortality and disabled rate.

关 键 词:脑胶质瘤  显微外科手术  神经导航  功能区  电生理

Neuronavigation and electrocorticography monitoring in resection of eloquent brain glioma: analysis in 36 cases
HU Wen-zhong,ZENG Xian-wei,LIU Hong-lin,CHEN Xiao-bing,DUAN Guo-qing. Neuronavigation and electrocorticography monitoring in resection of eloquent brain glioma: analysis in 36 cases[J]. Clinical Medicine of China, 2011, 27(3). DOI: 10.3760/cma.j.issn.1008-6315.2011.03.030
Authors:HU Wen-zhong  ZENG Xian-wei  LIU Hong-lin  CHEN Xiao-bing  DUAN Guo-qing
Abstract:Objective To investigate the effects and significance of neuronavigation and electrocorticography monitoring in resection of eloquent brain glioma. Methods Thirty-six cases with intracranial tumors accepted microneurosurgery resection under neuronavigation and electrocorticography monitoring. The clinical data and postoperative outcome were analyzed. Results The mean registration error was (2.0 ±0. 5)mm in all operations and all skin flaps and bone windows designed by neuronavigation could fit the operation demands. Total resectin of the tumor was achieved in 31 cases and subtotal resection in 5 cases. Neurological symptoms improved and no severe complications or death happened in all patients. Conclusion Neuronavigation combined with electrocorticography monitoring can accurately locate the eloquent glioma and retrieve the brain shift. This method is a real-time technique and has functional test ability. It can improve the total removal rate and decrease the mortality and disabled rate.
Keywords:Glioma  Microneurosurgery  Neuronavigation  Eloquent brain region  Electrocorticography
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