【摘要】 目的　评价神经导航在颅内胶质瘤显微手术的应用价值。方法　应用神经导航系统进行颅内胶质瘤显微手术 30例。结果　用神经导航系统进行胶质瘤及其周围解剖结构定位准确 ,平均注册误差 (2 .5± 0 .4 )mm。术后近期复查CT或MR证实胶质瘤全切率 83.3% ,手术时间和住院日较常规开颅手术缩短。结论　 (1)神经导航定位精确 ,有助于手术计划的精确实施。 (2 )实时导航颅内胶质瘤显微手术 ,有助于达到微侵袭效果和提高胶质瘤全切除率。 (3)摸索一套减少靶点漂移的经验。更多还原

【Abstract】 Objective To assess the clinical value of neuronavigation in intracranial gliomas microsurgery.Method The neuronavigation system had been applied for microsurgery in 30 cases of intracranial gliomas since January 2003.Results The tumors and the surrounding structures were located accurately with mean registration error (2.5±0.4)mm. Total tumor removals were achieved in 25 cases(83.3%). The duration for operating and staying in hospital were shorter in cases under neuronavigational surgery than those under conventional surgery. Conclusion The neuronavigation system is accurate in real-time orientation of intracranial gliomas microsurgery. It increases the radical rate of intracranial gliomas microsurgery with favourable micro-invasive outcomes. The methods of reducing brain shift are presented.更多还原