[1]鲁明,卢建侃,林德留,等.唤醒麻醉下T2Flair切除体积对脑深部胶质瘤手术治疗的临床意义[J].临床神经外科杂志,2018,15(04):301-304.
 LU Ming,LU Jian-kan,LIN De-liu,et al.Clinical significance of T2Flair resection volume under awaking anesthesia for surgical treatment of deep brain gliomas[J].Journal of Clinical Neurosurgery,2018,15(04):301-304.
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唤醒麻醉下T2Flair切除体积对脑深部胶质瘤手术治疗的临床意义()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
15
期数:
2018年04期
页码:
301-304
栏目:
论著
出版日期:
2018-08-15

文章信息/Info

Title:
Clinical significance of T2Flair resection volume under awaking anesthesia for surgical treatment of deep brain gliomas
作者:
鲁明卢建侃林德留赖名耀贺小军顾有明邓心情李兴可
510510 广州,广东三九脑科医院神经外五科(鲁明,卢建侃,林德留,贺小军,顾有明,邓心情,李兴可),肿瘤综合治疗中心(赖明耀)
Author(s):
LU MingLU Jian-kanLIN De-liuet al.
Unit Five,Department of Neurosurgery,Guangdong 999 Brain Hospital,Guangzhou 510510,China
关键词:
胶质瘤T2Flair体积唤醒麻醉
Keywords:
gliomaT2Flair volumeawaking anesthesia
分类号:
R739.41
文献标志码:
A
摘要:
目的 探讨唤醒麻醉下T2加权液体衰减反转恢复序列(T2WI fluid attenuated inversion recovery,T2Flair)切除体积对脑深部胶质瘤手术治疗的临床意义。方法 回顾性分析33例唤醒麻醉下切除的脑胶质瘤病例(A组)和12例同期接受非唤醒麻醉下的脑胶质瘤病例(B组)临床资料。比较两组病例的T2Flair切除体积及各组术前、术后KPS评分变化。结果 两组切除程度比较,A组切除体积(80.0±9.2)mL,B组切除体积 (38.9±8.9)mL,两组切除体积比较有统计学差异(P=0.0154)。A组内,术前KPS评分 91.2±1.2,术后为88.18±2.1,术前术后无明显差异(P=0.22);B组内,术前KPS 评分92.5±1.8,术后为85.0±5.0,术前术后无明显差异(P=0.172)。结论 T2Flair是量化手术切除程度的较好指标,接受唤醒麻醉手术的胶质瘤切除范围更大,且不降低术后生活质量。
Abstract:
Objective To explore the clinical significance of the resection volume of T2Flair(T2 weighted liquid attenuated inversion recovery) in the surgical treatment of deep brain gliomas under the awaking anesthesia.Methods The clinical data of 33 patients with gliomas (group A) under awaking anesthesia and 12 with gliomas under general anaesthesia (group B) were analyzed retrospectively.The volume of T2flair resection of the two groups and the preoperative and postoperative KPS scores of the two groups were compared.Results The resection volume of the group A was (80.0±9.2) mL,the volume of the group B was (38.9±8.9) mL.It had a statistically significant difference (P=0.0154).In group A,the preoperative KPS score was 91.2±1.2 and the postoperative was 88.18±2.1.There was no significant difference between preoperative and postoperative (P=0.22).In the group B,the preoperative KPS score was 92.5±1.8 and the postoperative was 85.0±5.0.There was no significant difference between preoperative and postoperative KPS(P=0.07).Conclusions T2Flair is a good index for quantifying the degree of surgical excision.The range of resection of glioma by awaking anesthesia is greater and the quality of life after operation is not reduced.

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更新日期/Last Update: 1900-01-01