论文部分内容阅读
目的探讨神经导航技术在脑膜瘤显微手术中的应用价值。方法回顾性分析85例应用神经导航手术操作系统进行显微外科治疗的脑膜瘤患者的临床资料。本组针对不同类型的脑膜瘤,应用神经导航系统设计个体化的手术入路,术中应用显微外科技术,避免损伤重要结构,进行有效的肿瘤切除。结果 SimpsonⅠ级切除38例(45%);Ⅱ级切除26例(30%);Ⅲ级切除21例(25%);术后早期并发症发生率4%(包括脑内血肿2例,中动脉区梗死1例);术后随访3个月至2年,均行神经系统检查和头颅MRI检查,遗留严重神经功能缺损2例(2%);2年内复发2例(2%),均为天幕脑膜瘤(内侧型),随访期间无一例患者死亡。结论应用神经导航显微手术切除脑膜瘤定位准确可靠,可提高手术的准确性,减少术中的盲目性。
Objective To explore the value of neural navigation technology in meningioma microsurgery. Methods The clinical data of 85 patients with meningiomas undergoing microsurgical treatment using neurosurgery operating system were retrospectively analyzed. The group for different types of meningioma, the application of neural navigation system design of individualized surgical approach, intraoperative use of microsurgical techniques to avoid damage to the important structures for effective tumor resection. RESULTS: Thirty-eight cases (45%) had Simpson grade Ⅰ resection, 26 cases (30%) had grade Ⅱ resection, 21 cases (25%) had Ⅲ grade resection, and the incidence of early postoperative complications was 4% (including 2 cases of intracerebral hematoma, (1 case of infarction). The patients were followed up for 3 months to 2 years. All patients underwent neurological examinations and cranial MRI examinations. There were 2 cases (2%) with severe neurological deficits and 2 cases (2%) within 2 years Aneboard meningioma (medial), none of the patients died during follow-up. Conclusion Neuro-navigation microsurgical removal of meningioma is accurate and reliable, which can improve the accuracy of operation and reduce the blindness in operation.