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The clinical study of surgical removal of supratentorial gliomas by using neuonavigation system
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF NEUROSURGERY
- Issue:
- 3
- DOI:
- 10.3760/j.issn:1001-2346.2003.03.001
- Key Word:
- 胶质瘤;神经导航;手术
Abstract： 目的应用神经导航系统对成人幕上胶质瘤实施手术,研究肿瘤全切除与神经功能保护.方法 85例病人,病变位于大脑半球各部位,为不同病理类型的胶质瘤.肿瘤直径从1.8cm到7.0cm,平均5.5cm.手术全过程在导航系统引导与监视下进行.结果肿瘤全切76例,近全切5例,大部切除4例.所有肿瘤全切病人术后增强颅MRI或CT检查未发现肿瘤残留病灶.手术后有49例病人出现明显的神经功能障碍,表现为不同程度的肢体瘫痪和(或)语言障碍,不全偏盲,但全部病例在2个月内恢复,无一例病人留有永久性神经功能障碍.所有8例术前偏瘫的病人在术后短期内症状得到明显改善,均下地行走,KPS从术前的60～70分增加到80～90分.结论应用神经导航系统可对大多数大脑半球不同部位胶质瘤病人做到影像学意义肿瘤全切除,并且不引起病人术后永久性神经功能障碍.
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