| 神经导航显微切除颅内微小占位病变的精确性及对脑功能的保护作用 |
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| 引用本文： | 何百祥,王茂德,严文萍,郭世文,姜海涛,鲍刚,王拓.神经导航显微切除颅内微小占位病变的精确性及对脑功能的保护作用[J].中国组织工程研究与临床康复,2003,7(28):3858-3859. |
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| 作者姓名： | 何百祥 王茂德 严文萍 郭世文 姜海涛 鲍刚 王拓 |
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| 作者单位： | 1. 西安交通大学第一医院神经外科,陕西省西安市,710061
2. 陕西省妇幼保健院手术室,陕西省西安市,710003 |
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| 摘 要： | 目的:探讨应用神经外科导航系统指导显微切除颅内微小占位病变的精确性和脑保护作用。方法:应用StealthStation神经外科导航系统指导显微切除颅内微小占位病变26例,对其注册准确性、术中准确性、术中脑移位、手术效果和手术并发症进行分析。结果:平均坐标误差(meanfiducialerror,MFE)、10cm预期准确性(predictedaccuracyat10cm,PA)分别为(2.6±0.9)mm和(2.5±0.8)mm。术中持续准确性SA1(重装参考环后复核K-wire)、SA2(制成骨窗后复核骨窗周围再注册点)、SA3(切除病灶后复核骨窗周围再注册点)依此为(2.4±0.8),(1.3±0.8)和(1.5±1.0)mm。SA2和SA3用于术中准确性的监测,经配对t检验差异无显著性意义(t=0.353,P>0.05)。术中脑移位为(1.5±0.4)mm。手术全切率100%。21例患者术后临床症状改善,5例无变化,无手术并发症及死亡。结论:神经外科导航系统指导显微切除颅内微小占位病变定位及手术准确性高,对脑组织微侵扰。有助于顺利寻找和全切病灶,保护脑功能区,减少手术并发症。
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| 关 键 词： | 脑 显微外科手术 手术中并发症 手术后并发症 |
| 文章编号： | 1671-5926(2003)28-3858-02 |
| 修稿时间： | 2003年4月20日 |
Protective effect of neuronavigation microsurgery on brain function and its accuracy in the treatment of intracranial minute occupying-space lesions |
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| Bai-Xiang He,Mao-De Wang,Shi-Wen Guo,Hai-Tao Jiang,Gang Bao,Tuo Wang.Protective effect of neuronavigation microsurgery on brain function and its accuracy in the treatment of intracranial minute occupying-space lesions[J].Journal of Clinical Rehabilitative Tissue Engineering Research,2003,7(28):3858-3859. |
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| Authors: | Bai-Xiang He Mao-De Wang Shi-Wen Guo Hai-Tao Jiang Gang Bao Tuo Wang |
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| Institution: | Bai-Xiang He,Mao-De Wang,Shi-Wen Guo,Hai-Tao Jiang,Gang Bao,Tuo Wang,Department of Neurosurgery,First Hospital of Xi ' an Jiaotong Uni-versity,Xi ' an 710061,Shaanxi Province,China Wen-Ping Yan,Operating Theater,Shaanxi Women an d Children Hospital and Health Institute,Xi ' an 710003,Shaanxi Province,China |
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| Abstract: | |
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| Keywords: | The neuronavigation system to direct the microsurgery for intracranial minute occupying space lesion has the high accuracy for location and operation but has minimal invasion for cerebral tissue It is helpfu l for seeking and totally resecting |
| 本文献已被 CNKI 万方数据 等数据库收录！ |
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