目的：探讨术中实时超声定位在颅脑深部病变显微外科手术中的临床应用价值。方法对38例行外科手术的颅内病变患者，术中开颅后应用超声显示病变的位置、深度、范围、性质以及与毗邻血管的关系，对病灶进行定位；瘤体切除后再次探测有无残留。结果38例病变均在术中超声图像上清晰显示并准确定位，其中12例患者病灶较小或相对较深，超声引导下先行穿刺置入人工标志物后得以清除。结论术中超声检测可清晰显示颅内深部病变并进行准确定位，并可监控病变切除情况，缩短了手术时间，提高了手术成功率，具有较大临床应用价值。%Objective To explore the clinical value of real-time ultrasonography in microsurgery of deep brain lesions. Methods Intraoperative ultrasonography was applied to observe location, depth, scope and nature of le-sion, as well as its relationship with the adjacent vascular after craniotomy surgery in 38 patients with intracranial le-sions undergoing surgery. Then ultrasonography was used again to observe the residual tumor after tumor resection. Results The 38 lesions were showed clearly and located accurately in the intraoperative ultrasonography, including 12 patients with lesions smaller or relatively deeper, which were cleared after the implantation of artificial markers by ultra-sound-guided puncture. Conclusion Intraoperative ultrasonography can clearly show intracranial lesions, with accurate positioning and real-time monitoring, which helps shorten the operation time and improve the success rate of surgery.
展开▼
