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| 超声在脑功能区皮层下胶质瘤次全切除术中应用 | |
| 引用本文： | 陈运洪,王向宇,柯以铨,张世忠,唐晓明,徐如祥,钟世镇.超声在脑功能区皮层下胶质瘤次全切除术中应用[J].中国现代医学杂志,2008,18(24):3681-3684. |
| 作者姓名： | 陈运洪 王向宇 柯以铨 张世忠 唐晓明 徐如祥 钟世镇 |
| 作者单位： | 1. 南方医科大学珠江医院超声诊断科,广东,广州,510282 2. 南方医科大学珠江医院神经外科,广东,广州,510282 3. 南方医科大学解剖教研室,广东,广州,510282 |
| 基金项目： | 广东省自然科学基金(No:07005194); 广东省医学科研基金(No:A2006407) |
| 摘 要： | 目的 评价超声在功能区皮层下胶质瘤次全切除术中对切除范围控制价值.方法 在15例功能区皮层下肿瘤次全切除术中,以超声引导确定手术入路,实时观察切除范围,在保护正常功能区皮层前提下,指导手术尽量多切除肿瘤.以术后MKI评价超声应用价值.结果 所有15例功能区皮层结构均无手术损伤.超声与术后MRI符合好9例(60.00%)、一般2例(13.33%)、差4例(26.67%),肿瘤容积增加可降低超声符合情况.结论 在脑功能区肿瘤次全切除术中,应用超声可选择安全的手术入路,指导手术可在尽量切除肿瘤同时避免皮层损伤.肿瘤容积增大可导致术中超声判断准确性下降. |
| 关 键 词： | 神经外科 神经胶质瘤 功能区 术中超声 |
Subtotal resection of subcortical gliomas in eloquent brain areas controlled by intraoperative ultrasound |
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| CHEN Yun-hong , WANG Xiang-yu , KE Yi-quan , ZHANG Shi-zhong , TANG Xiao-ming , XU Ru-xiang , ZHOGN Shi-zheng.Subtotal resection of subcortical gliomas in eloquent brain areas controlled by intraoperative ultrasound[J].China Journal of Modern Medicine,2008,18(24):3681-3684. | |
| Authors: | CHEN Yun-hong WANG Xiang-yu KE Yi-quan ZHANG Shi-zhong TANG Xiao-ming XU Ru-xiang ZHOGN Shi-zheng |
| Institution: | CHEN Yun-hong1,WANG Xiang-yu2,KE Yi-quan2,ZHANG Shi-zhong2,TANG Xiao-ming1,XU Ru-xiang2,ZHOGN Shi-zheng3(1.Department of Ultrasound,Zhujiang Hospital,2.Department of Neurosurgery,3 Department of Anatomy,Southern Medical University,Guangzhou,Guangdong 510282 P.R.China) |
| Abstract: | Objective] To evaluate reliability and contribution of intraoperative ultrasound(IOUS) in subtotal resection of gliomas located in functionally important region.Methods] Fifteen patients with neurosurgical targets located subcortically in the eloquent areas were operated on using IOUS and approach of gliomas were chosen.The value of IOUS in resection control was estimated by compared its volumetric results with postoperation MRI.Results] IOUS recognized all lesions easily.A good correlation in comparing ... |
| Keywords: | neurosurgery glioma eloquent areas intraoperative ultrasound |
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