神经导航联合术中超声及唤醒在27例功能区胶质瘤手术中的应用

目的探讨神经导航联合术中超声及唤醒在功能区神经胶质瘤手术中的应用价值。方法回顾性分析2008年1月至2011年5月该院神经导航联合术中超声及唤醒在27例功能区胶质瘤手术患者的临床资料。结果肿瘤全切22例,大部分切除5例。术后出现感觉性失语2例,单侧肢体瘫痪5例,经过术后常规治疗护理,均好转出院。结论对于重要功能区神经胶质瘤,神经导航可在术前精确定位,设计最佳手术路线,术中超声与术中唤醒可判断出病灶与正常脑组织以及功能区的分界,实现最大限度地切除肿瘤。

Application of surgery for gliomas in eloquent brain regions using neuronavigation and intraoperative ultrasound and intraoperation awakening

Objective To explore the role and value of intraoperative ultrasound,neuronavigation and intraoperation awakening in surgical treatment of gliomas located in the eloquent brain regions.Methods The clinical data in 27 cases of gliomas in the eloquent brain regions treated by neuronavigation and intraoperative ultrasound and intraoperation awakening in our hospital from January 2008 to May 2011 were retrospectively analyzed.Results Tumors were completely removed in 22 cases and subtotally resected in 5 cases.After operation,there were aphasia in 2 cases and unilateral hemiplegia in 5 cases.By postoperative routine treatment and nursing,all were discharged from hospital with improvement.Conclusion For gliomas in the eloquent brain regions,neuronavigation can accurately fix the position before operation and design the best surgical routes.Intraoperative ultrasound and intraoperation awakening can judge the boundary of tumors with normal brain tissue and eloquent brain regions,achieving complete resection of tumor.