Objective To explore the effect of intraoperative ultrasound on intracranial tumor surgery.Methods A total of 63 patients with intraoperative ultrasound in intracranial tumor surgery from January 2017 to November 2018 were selected as ultrasound group.During the same period, 33 patients with intracranial tumor surgery but without ultrasound detection were selected as control group.The pathology results, extent of tumor resection, and prognosis were compared between the two groups.Results The pathology Results showed that in the control group, there were 18 cases of glioma, 6 cases of meningeoma, 3 cases of cavernous hemangioma, 3 cases of metastatic tumor, 2 cases of schwannoma, and 1 case of other intracranial tumor; in the ultrasound group, there were 33 cases of glioma, 13 cases of meningeoma, 6 cases of cavernous hemangioma, 5 cases of metastatic tumor, 4 cases of schwannoma, and 2 cases of other intracranial tumor.The total resection rate of tumor in the ultrasound group was obviously higher than that in the control group (P<0.05).The scores of KPS in the two groups after treatment were improved obviously (P<0.05), and the score in the ultrasound group was better than that in the control group (P<0.05).Conclusion Intraoperative ultrasound could detect the tumor in real time and significantly improve the total resection rate of tumor, thus is worthy of clinical promotion.
CHENG Xiaoying
,
YE Feng
. Application of intraoperative ultrasound in intracranial tumor surgery[J]. Surgical Research and New Technique, 2019
, 8(2)
: 120
-123
.
DOI: 10.3969/j.issn.2095-378X.2019.02.013
[1] 贾磊,李刚.颅脑手术中超声检查对手术的指导作用[J].山东医药, 2014,54(46):101-103.
[2] 陶治鹤,胡伟,毛进鹏.术中实时超声指导对颅内胶质瘤手术的应用价值[J].中国肿瘤临床与康复, 2017,24(8):985-987.
[3] 常莹,杨敬春,张倩,等.术中超声在神经外科领域中的应用研究进展[J].中华医学超声杂志(电子版), 2018,15(6):422-425.
[4] 洪文清,张晓东,李超,等.术中实时超声在颅内病变切除术中的应用[J].安徽医学, 2016,37(1):55-57.
[5] 庄勇,曾锦树,叶小剑,等.术中超声在脑胶质瘤治疗中的临床应用[J].福建医科大学学报, 2018,52(4):274-275.
[6] Unsgaad G, Gronningsaeter A, Ommeda L, et al.Brain operations guided by real-time two-dimensional ultrasound: new possibilities as a result of improved image quality[J].Neurosurgery, 2002,51(2):402-412.
[7] Selbekk T, Jakola AS, Solheim O, et al.Ultrasound imaging in neurosurgery: approaches to minimize surgically induced image artefacts for improved resection control[J].Acta Neurochir (Wien), 2013,155(6):973-980.