论著 Original Article

动态超声评估在颅内占位性病变手术中的应用

Published at: 2017年第37卷第8期

赵建祥 1,2 , 王开宇 1,2,3 , 于荣国 1,2 , 陈开化 1,2 , 洪文瑶 2,3 , 廖正俭 2,3
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 福建省立医院神经外科,福州 350001
通讯作者 开宇 王 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。


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

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.


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引用

引用本文: 建祥 赵, 开宇 王, 荣国 于, 开化 陈, 文瑶 洪, 正俭 廖. 动态超声评估在颅内占位性病变手术中的应用[J]. 临床与病理杂志, 2017, 37(8): 1608-1611.
Cite this article as: ZHAO Jianxiang, WANG Kaiyu, YU Rongguo, CHEN Kaihua, HONG Wenyao, LIAO Zhengjian . Application of dynamic ultrasonography assessment during the operations of intracranial space-occupying lesion[J]. Journal of Clinical and Pathological Research, 2017, 37(8): 1608-1611.