Clinical value of multimodal image guided neuronavigation combined with intraoperative ultrasound in resection of intracranial gliomas: report of 42 cases

Xiangyong YUE; Jiang WU; Tao GUO

doi:10.16016/j.1000-5404.201710214

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Clinical value of multimodal image guided neuronavigation combined with intraoperative ultrasound in resection of intracranial gliomas: report of 42 cases

Clinical Medicine | 更新时间：2026-01-09

- Clinical value of multimodal image guided neuronavigation combined with intraoperative ultrasound in resection of intracranial gliomas: report of 42 cases
- Journal of Third Military Medical University Vol. 40, Issue 7, Pages: 620-624(2018)
- 作者机构：
  
  1.050051 石家庄，河北省人民医院：肿瘤二科
  2.050051 石家庄，河北省人民医院：神经外二科
- 作者简介：
- 基金信息：
  
  the Project of Science and Technology Plan of Hebei Province(162777209);the Promotion Project of Science and Technology Achievement of Hebei Province(20170248)
- DOI：10.16016/j.1000-5404.201710214
  CLC： R445;R730.56;R739.41
- Received：30 October 2017，
  
  Revised：2018-01-10，
  
  Published：15 April 2018
- 稿件说明：
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Xiangyong YUE, Jiang WU, Tao GUO. Clinical value of multimodal image guided neuronavigation combined with intraoperative ultrasound in resection of intracranial gliomas: report of 42 cases[J]. Journal of Third Military Medical University, 2018, 40(7): 620-624.
DOI：

Xiangyong YUE, Jiang WU, Tao GUO. Clinical value of multimodal image guided neuronavigation combined with intraoperative ultrasound in resection of intracranial gliomas: report of 42 cases[J]. Journal of Third Military Medical University, 2018, 40(7): 620-624. DOI： 10.16016/j.1000-5404.201710214.

摘要

目的

探讨多模态影像神经导航联合术中超声在切除颅内胶质瘤中的临床应用及其价值。

方法

回顾性分析本院2007年12月31日至2014年6月30日在多模态影像神经导航联合术中超声辅助下手术治疗的42例颅内胶质瘤患者临床资料，对比手术前后胶质瘤切除程度及胶质瘤继发癫痫的控制情况。

结果

全部患者术后无血肿、感染、偏瘫。术后48 h复查MRI，结果显示肿瘤全切除34例，大部切除8例。术后1年评估癫痫控制情况，Engel’s Ⅰ级17例，Engel’s Ⅱ级11例，Engel’s Ⅲ级5例。在保护神经功能的同时，切除肿瘤，控制癫痫发作，临床效果显著。

结论

多模态影像神经导航联合术中超声可以实现最大程度切除肿瘤及致痫灶，降低术后神经功能障碍的发生率。

Abstract

Objective

To investigate the clinical value of multimodal neuronavigation combined with intraoperative ultrasound in the resection of intracranial gliomas.

Methods

A retrospective analysis was carried out on 42 patients undergoing intracranial glioma surgery in our hospital from December 31st

2007 to June 30th 2014 with the aid of multimodal neuronavigation combined with intraoperative ultrasound. Their clinical data were collected and compared before and after surgery

and the resection of glioma and control of glioma-associated epilepsy were investigated.

Results

No hematoma

infection or hemiplegia occurred in all the patients. At 48 h after operation

MRI and MRI showed complete resection in 34 cases and subtotal resection in 8 cases. In 1 year after operation

17 case obtained Engel's class Ⅰ

11 cases Engel's class Ⅱ

and 5 cases Engel's class Ⅲ in the evaluation of seizure control. This approach had significant clinical value in protection of nerve function

resection of tumor

and control of epileptic seizure.

Conclusion

Multimodal neuroimaging combined with intraoperative ultrasound is helpful to make maximum resection of tumor and epileptic focus and to reduce the incidence of postoperative neurological dysfunction.

关键词

Keywords

references

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