摘要
目的 总结神经导航系统在邻近重要功能区手术切除脑胶质瘤的价值。方法 应用德国Brain-LAB公司VV2神经导航系统辅助切除大脑半球邻近脑功能区胶质瘤56例，并对神经外科导航应用于脑胶质瘤切除手术的优越性、精确性和注意事项进行分析和总结。结果 本组病例中，平均注册误差为1．6±0．5mm，术后近期复查CT或MRI证实肿瘤影像学全切率为87．5％，患者临床症状均得已改善，肢体活动等重要神经功能与术前比较均未受明显影响，手术并发症少。短期随访3～13个月期间，5例复发。结论 神经导航系统辅助手术切除邻近重要功能区胶质瘤具有定位准确、精确性好、具有微侵袭等特点，有助于提高脑胶质瘤的全切率及降低手术并发症，相对提高病人生存质量和疗效。
Objective To investigate the effect of neuronavigation system in gliomas microsurgery near function regions. Methods We used the BrainLAB W2 Navigation system in 56 patients with gliomas in important function rigion of hemisphere. The value of this system for glioma resection wsa assessed, and the advantagea and accuracy and cautions for application were discussed. Results Of our cases, the mean registration error was （1.6±0. 5mm） . According to the CT and MRI imaging data, total tumor removals were achieved in 49 patients （87. 5%）. The clinic status of all patients showed improvement, and the critical function, e.g. motor were not significantly affected. There were no complication attributed to the use of this system. Only five patients relapsed during short-time follow-up in three to thirteen months. Conclusion The neuronavigation system is reliable and accurate in treatment for gliomas microsurgery. It increases radical rate in gliomas resection without injuring the critical function . The methods of reducing tumors relapsed are presented.
出处
《立体定向和功能性神经外科杂志》
2007年第2期97-99,共3页
Chinese Journal of Stereotactic and Functional Neurosurgery
