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目的探讨术中实时B超等体积切除幕上脑胶质瘤的方法和效果。方法回顾性总结2006年1月至2010年12月完成的42例B超引导下幕上脑胶质瘤等体积切除患者的临床资料,对术式的优点和注意事项进行分析。结果术后影像复查显示:肿瘤等体积切除38例,次全切除4例。术后运动功能障碍加重3例,语言功能障碍加重2例,运动功能障碍伴语言功能障碍3例。3个月后恢复均较术前好转,无手术死亡。结论应用术中实时超声可对大脑半球不同部位的胶质瘤行影像学等体积切除。
Objective To investigate the method and effect of real-time B-mode ultrasound ablation of supratentorial glioma. Methods The clinical data of 42 patients undergoing B-guided supratentorial glioma volume biopsy from January 2006 to December 2010 were retrospectively reviewed. The advantages and precautions of the surgical procedures were analyzed. Results postoperative imaging review showed that: tumor volume removal of 38 cases, subtotal resection in 4 cases. Postoperative motor dysfunction in 3 cases, 2 cases of language dysfunction, 3 cases of motor dysfunction with language dysfunction. Three months after the resuscitation were better than preoperative, no surgical death. Conclusion Real-time intraoperative ultrasound can be performed on different parts of the cerebral hemisphere glioma imaging volume excision.