摘要
目的:评价术中3D超声神经导航系统的临床应用价值.方法:2004年7～9月,应用SonoWand(MISON)超声神经导航系统进行术中导航20例,其中男性13例,女性7例,年龄3～59岁.病变部位:额叶4例,颞叶4例,额颞叶3例,额顶叶2例,小脑1例,多发病灶1例,脊髓病变2例,其他3例.病变性质:胶质瘤9例, 转移瘤2例,脑膜瘤2例,蛛网膜囊肿3例,透明隔囊肿1例,脑积水1例,脊髓软化灶1例,脊髓空洞症1例.结果:本组脑肿瘤13例,共14个病灶;全切除13个(92.9%)、次全切除1个(7.1%). 手术切口长度和骨瓣较常规开颅手术小.病灶邻近运动区的7例患者,5例术后肌力未受影响,2例出现一过性肌力下降,2周后恢复至术前水平.囊肿4例,引导神经内镜进行手术获得成功.脊髓病变2例,超声导航定位成功.1例脑积水患者,行脑室腹腔分流术,经注册分流管,放置在理想位置.本组未发现应用超声神经导航系统导致手术并发症.结论:术中3D超声神经导航系统具有定位准确、动态示踪、微侵袭、安全可靠等特点,具有术中实时超声扫描功能,解决了脑组织移位问题,有助于提高脑肿瘤的全切除率,降低手术并发症.
Objective： To evaluate the clinical value of 3-dimensional ultrasound neuronavigation system in neurosurgery. Methods： SonoWand（MISON） ultrasound neuronavigation system was used in 20 patients （13 male and 7 female, age 3L59 years old） undergoing neurosurgieal procedures from July to September 2004. Location of lesion：frontal lobe 4 cases, temporal lobe 4, frontotemporal lobe 3, frontoparital lobe 2, cerebellum 1, multiple lesions 1, spinal cord 2, others 3. Characterization of the lesions：9 gliomas,2 metastasises, 2 meningiomas, 3 arachnoid cysts, 1 septum pellucidum cyst,1 hydrocephalus, 1 myelomalacia and 1 syringomyelia. Results.. This cohort included 13 brain tumors patients and 14 lesions. The total and subtotal removal rate were 92.9%（13/14） and 7. 1%（1/14） ,respectively. The length of the gealp incision and the size of bone flap were both smaller than those of the ordinary surgery. For 7 patients with lesions located near motor area of cerebrum, 5 had un-affected muscle strength and 2 had temporarily muscle strength for 2 weeks. Four cysts were all successfully treated by neuroendoscopy under neuronavigation. The 2 spinal lesions were accurately localized and 1 hippocephalus patient received ventriculo-peritoneal shunt successfully under navigation. There was no complication attributable to MISON system. Conclusion： MISON system is accurate, safe, mini-invasive and reliable. It works in a real-time manner during neurosurgery, which solves the brain-shift problem and leads to a more radical tumor resection through a smaller incision and with minimal complications.
出处
《第二军医大学学报》
CAS
CSCD
北大核心
2005年第12期1384-1387,共4页
Academic Journal of Second Military Medical University
关键词
3D超声
神经导航
神经外科手术
3-dimensional ultrasound
neuronavigation
neurosurgical procedures
