神经导航辅助微骨窗入路在脑深部肿瘤手术中的应用

目的探讨神经导航辅助下微骨窗入路显微手术切除脑内深部肿瘤的方法和疗效。方法收集140例脑深部肿瘤患者,分为对照组(54例)和试验组(86例)。对照组患者采用传统手术治疗,试验组患者采用神经导航辅助的显微手术切除肿瘤。结果试验组患者中,全切除78例(90.7%),近全切除5例(5.8%),大部分切除2例(2.3%),活检1例(1.2%)。对照组患者中,全切除40例(74.1%),近全切除9例(16.7%),大部分切除5例(9.3%)。两组患者的骨窗大小、手术时间和全切率比较,差异有统计学意义(P<0.05)。结论神经导航辅助微骨窗入路可显著提高脑深部肿瘤患者的治疗效果,提高全切率,缩短手术时间,并减少手术创伤。

Clinical application of neuronavigation assisting a micro bone window deep in treatment of brain deep tumor surgery

Objective To investigate the microsurgical resection of neuronavigation assisting micro bone window in treatment of deep brain tumor. Methods A total of 140 patients with brain tumors were collected and divided into control group （54 cases） and observation group （86 cases）. The patients of control group were treated with traditional surgery. The patients of observation group were treated with microsurgical resection of neuronavigation assisting micro bone window to remove tumor. Results The rates of total resection, near total resection, subtotal and biopsy in observation group were 90. 7% （78 cases）, 5. 8% （5 cases）, 2. 3% （2 cases） and 1.2% （ 1 cases）, respectively. The rates of total resection, near total resection and majority of resection were 74. 1% （40 cases）, 16. 7% （9 cases） and 9. 2% （5 cases） in control group, respectively. There was significant differences among bone window, time of surgery and rate of total resection （P 〈 0. 05 ）. Conclusion The use of neuronavigation assisted micro bone window approach not only can significantly improve efficacy and rate of total resection, but also shorten the time of operation and reduce surgical trauma.