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术中超声引导置入定位针在脑海绵状血管畸形切除术中的应用
引用本文:贺焱,何文,张惠琴,王立淑,赵继宗,王嵘,郭志祥. 术中超声引导置入定位针在脑海绵状血管畸形切除术中的应用[J]. 中华超声影像学杂志, 2011, 20(2). DOI: 10.3760/cma.j.issn.1004-4477.2011.02.015
作者姓名:贺焱  何文  张惠琴  王立淑  赵继宗  王嵘  郭志祥
作者单位:1. 首都医科大学附属北京天坛医院超声科,北京,100050
2. 首都医科大学附属北京天坛医院神经外科,北京,100050
基金项目:首都医学发展基金重点资助项目
摘    要:目的 探讨术中超声引导下放置定位针在脑海绵状血管畸形切除术中的应用价值.方法 对术前MRI和(或)CT诊断为脑海绵状血管畸形的14例患者14处病变在术中超声引导下置入定位针定位后进行手术切除.结果 14处脑海绵状血管畸形均在术中超声引导下放置定位针精确定位,手术顺利完整切除.病变距离脑皮层表面1.5~2.9 cm,病变大小0.8~2.8 cm.14处病灶彩色多普勒超声显示内部可见少许点状血流.结论 术中超声引导置入定位针能够准确定位切除脑海绵状血管畸形.
Abstract:
Objective To explore the value of the located needles guided by intraoperative ultrasound in resection of brain cavernous malformations. Methods Fourteen patients diagnosed as brain cavernous malformations confirmed by preoperative CT and MRI. Detected by the located needles under intraoperative ultrasound guidance, 14 lesions were excised. Results Intraoperative ultrasound-guided needles accurately located 14 cases of patients with brain cavernous malformations. Fourteen lesions were removed successfully. The distances between lesions and the dura mater were 1.5-2.9 cm,the sizes of lesions were 0.8-2.8 cm. Fourteen lesions by color Doppler flow imaging showed point-like blood flow. Conclusions Brain cavernous malformations can be accurately detected by the located needles under intraoperative ultrasound guidance.

关 键 词:超声检查  血管瘤,海绵状,中枢神经系统

Application of located needles guided by intraoperative ultrasound in resection of brain cavernous malformations
HE Yan,HE Wen,ZHANG Hui-qin,WANG Li-shu,ZHAO Ji-zong,WANG Rong,GUO Zhi-xiang. Application of located needles guided by intraoperative ultrasound in resection of brain cavernous malformations[J]. Chinese Journal of Ultrasonography, 2011, 20(2). DOI: 10.3760/cma.j.issn.1004-4477.2011.02.015
Authors:HE Yan  HE Wen  ZHANG Hui-qin  WANG Li-shu  ZHAO Ji-zong  WANG Rong  GUO Zhi-xiang
Abstract:Objective To explore the value of the located needles guided by intraoperative ultrasound in resection of brain cavernous malformations. Methods Fourteen patients diagnosed as brain cavernous malformations confirmed by preoperative CT and MRI. Detected by the located needles under intraoperative ultrasound guidance, 14 lesions were excised. Results Intraoperative ultrasound-guided needles accurately located 14 cases of patients with brain cavernous malformations. Fourteen lesions were removed successfully. The distances between lesions and the dura mater were 1.5-2.9 cm,the sizes of lesions were 0.8-2.8 cm. Fourteen lesions by color Doppler flow imaging showed point-like blood flow. Conclusions Brain cavernous malformations can be accurately detected by the located needles under intraoperative ultrasound guidance.
Keywords:Ultrasonography  Hemangioma,cavernous,central nervous system
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