Clinical use and limitation of neuronavigation system-a report of 58 cases

YAN Yi; et al

doi:10.13406/j.cnki.cyxb.2004.02.033

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Clinical use and limitation of neuronavigation system-a report of 58 cases

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- Clinical use and limitation of neuronavigation system-a report of 58 cases
- Journal of Chongqing Medical University Issue 2, Pages: 225-228(2004)
- 作者机构：
  
  1. 重庆医科大学临床学院神经外科
  2. 重庆医科大学临床学院神经外科,重庆,400016
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2004.02.033
  CLC： R651
- Published：2004，
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[1]晏怡,孙晓川,唐文渊.导航技术在神经外科的临床应用及其局限性的探讨(附58例临床报道)[J].重庆医科大学学报,2004(02):225-228.

YAN Yi, et al. Clinical use and limitation of neuronavigation system-a report of 58 cases. [J]. Journal of Chongqing Medical University (2):225-228(2004)
[1]晏怡,孙晓川,唐文渊.导航技术在神经外科的临床应用及其局限性的探讨(附58例临床报道)[J].重庆医科大学学报,2004(02):225-228. DOI： 10.13406/j.cnki.cyxb.2004.02.033.

YAN Yi, et al. Clinical use and limitation of neuronavigation system-a report of 58 cases. [J]. Journal of Chongqing Medical University (2):225-228(2004) DOI： 10.13406/j.cnki.cyxb.2004.02.033.

摘要

目的 :探讨计算机辅助立体定向神经导航系统在神经外科手术中的作用及其局限性。方法 :总结 5 8例采用StealthStation 4 .1神经导航系统进行的颅脑手术的病例资料

其中各型肿瘤共 5 2例

脑血管畸型 4例

脑脓肿 2例 :位于大脑半球浅部者 2 4例

位于大脑半球深部者 2 1例

颅底 8例

小脑半球 2例

脑干 3例。结果 :颅内 5 8个病灶中

经神经导航手术全切除4 5个（ 77.6 % ）

次全切除 5个（ 8.6 % ）

大部切除 2个（ 3.4 % ）

部分切除 6例（ 10 .3% ）。术后症状改善或不变 5 2例（ 89.7% ）

加重 5例（ 8.6 % ）

死亡 1例（ 1.7% ）。结论 :神经导航系统有助于提高神经外科手术的定位准确性

增加病灶全切除率

且安全可靠

可广泛应用于各种颅脑手术。但该神经导航系统尚不能解决术中发生因脑移位而出现的定位问题

作者分析导航系统在不同颅脑手术中的作用

并提出了相应的改进对策

Abstract

Objective:To discuss the effects and limitation of neuronavigation system in neurosurgical operations.Methods:58 cases surgically treated with Stealth Station 4.1 Neuronavigation System were analysed

including 52 cases of intracranial tumor

4 cases of cerebral vascular malformations and 2 cases of intracerebral abscess. The locations of lesion included superficial part of hemisphere (24 cases)

deep part of hemisphere (21 cases)

skull base (8 cases)

cerebellum (2 cases) and brain stem (3 cases).Results:Among 58 cases

total removal of the lesion was performed on 45 cases

comprising 77.6%

subtotal removal on 5

comprising 8.6%

most removal on 2%

comprising 3.4% and partial removal on 6%

comprising 10.3%.Postoperative neurological functions were improved or remained unchanged in 52 cases while they were worsened in 5 cases

and 1 patient died.Conclusion:Neuronavigation system is safe and helpful for improving accuracy of neurosurgical operations and increasing total removal of lesions

and it can be used widely in neurosurgery. However

it can’t avoid intraoperative brain shift.The effects of navigation system in different neurosurgical operations are evaluated.

关键词

神经导航手术脑移位

Keywords

NeuronavigationoperationBrain shift

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