文章摘要

动态超声评估在颅内占位性病变手术中的应用

作者: 1,2赵建祥, 1,3,4王开宇, 1,2于荣国, 3,4洪文瑶, 3,4廖正俭, 1,2陈开化
1 福建省立医院重症医学三科神经重症专业组，福州 350001
2 福建医科大学省立临床学院，福州 350001
3 福建医科大学省立临床学院，福州 350001
4 福建省立医院神经外科，福州 350001
通讯: 王开宇 Email: 15005085325@163.com
DOI: 10.3978/j.issn.2095-6959.2017.08.010
基金: 国家临床重点专科建设项目, 财社2011-170 福建省自然科学基金, 2014J01403

摘要

目的:探讨动态超声评估在颅内占位性病变手术中的临床应用。方法:回顾分析2015年11月至 2016年11月福建省立医院收治的22例颅内占位性病变并行神经外科手术治疗患者的临床诊疗资料， 分析手术过程应用动态超声检查实时评估病灶位置及大小，辅助判断病变性质，探查病灶切缘及残 留状态等的临床应用价值。结果:动态超声检查能准确定位颅内占位性病变，动态评估手术过程中 病灶边缘的变化过程，能动态探查病变的残留状态，减少手术对正常脑组织的损伤，且无不良并发 症。结论:动态超声评估在颅内占位性病变手术中的应用，可以减少手术相关的损伤，降低手术 并发症的发生率，能够安全有效地应用于临床。
关键词： 超声检查 神经外科手术 临床应用

Application of dynamic ultrasonography assessment during the operations of intracranial space-occupying lesion

Authors: 1,2ZHAO Jianxiang, 1,3,4WANG Kaiyu, 1,2YU Rongguo, 3,5HONG Wenyao, 3,5LIAO Zhengjian, 1,2CHEN Kaihua
1 Department of Intensive Care Unit, Neurological Intensive Care Group, Fujian Provincial Hospital, Fuzhou 350001
2 Provincial Clinical College of Fujian Medical University, Fuzhou 350001
3 Provincial Clinical College of Fujian Medical University, Fuzhou 350001
4 Department of Neurosurgery, Fujian Provincial Hospital, Fuzhou 350001, China
5 Department of Neurosurgery, Fujian Provincial Hospital, Fuzhou 350001, China

CorrespondingAuthor: WANG Kaiyu Email: 15005085325@163.com

DOI: 10.3978/j.issn.2095-6959.2017.08.010

Abstract

Objective: To discuss the clinic application of dynamic ultrasonography during the operations of intracranial space-occupying lesion. Methods: Retrospective analysis of 22 patients, clinical data in Fujian Province Hospital from 2015 to 2016, who suffered from intracranial space-occupying lesions and received neurosurgical operation. We analysed the clinic application of dynamic ultrasonography in the assessment of space-occupying lesions, position and area, the preliminary judgment of the character of the space-occupying lesions, probing the cutting edge and the residual state. Results: Application of dynamic ultrasonography accurately located intracranial space-occupying lesions, dynamic assessed the change process of the intracranial space-occupying lesions, edge during the surgical, dynamic detected the residual state of intracranial space-occupying lesions, and reduced surgical related damage on normal brain tissue. Conclusion: Dynamic ultrasonography in neurosurgical procedures of intracranial space-occupying lesions, can reduce the operation related damage, reduce the incidence of complications, and
can be safely and effectively used in clinical treatment.
Keywords： Ultrasonography neurosurgical procedures clinic application

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