[1]赵君爽,李龙,陈炼,等.多模态神经导航系统联合神经内镜在颅咽管瘤手术中的临床应用[J].临床神经外科杂志,2020,17(04):413-416.[doi:DOI:10.3969/j.issn.1672-7770.2020.04.012]
 ZHAO Jun-shuang,LI Long,CHEN Lian,et al.Clinical application of multimodal neuronavigation system assisted neuroendoscopy in craniopharyngioma surgery[J].Journal of Clinical Neurosurgery,2020,17(04):413-416.[doi:DOI:10.3969/j.issn.1672-7770.2020.04.012]
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多模态神经导航系统联合神经内镜在颅咽管瘤手术中的临床应用()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
17
期数:
2020年04期
页码:
413-416
栏目:
论著
出版日期:
2020-08-14

文章信息/Info

Title:
Clinical application of multimodal neuronavigation system assisted neuroendoscopy in craniopharyngioma surgery
文章编号:
202004012
作者:
赵君爽李龙陈炼周锦鹏景治涛
110001 沈阳,中国医科大学附属第一医院神经外科
Author(s):
ZHAO Jun-shuang LI Long CHEN Lian et al.
Department of Neurosurgery, the First Affiliated Hospital of China Medical University, Shenyang 110001, China
关键词:
多模态神经导航系统颅咽管瘤神经内镜多普勒超声神经电生理监测
Keywords:
multimodal neuronavigation system craniopharyngioma neuroendoscopy Doppler ultrasound neuroelectrophysiological monitoring
分类号:
R651.1
DOI:
DOI:10.3969/j.issn.1672-7770.2020.04.012
文献标志码:
A
摘要:
目的探讨多模态神经导航系统联合神经内镜手术治疗颅咽管瘤的临床效果及安全性,寻找颅咽管瘤手术治疗的最佳策略。方法回顾性分析中国医科大学附属第一医院神经外科2017年1月—2019年1月在多模态神经导航系统辅助下经鼻神经内镜切除颅咽管瘤的18例患者的临床资料。分析患者的肿瘤切除程度及术后并发症。结果16例患者(88.9%)的肿瘤完全切除,2例患者(11.1%)的肿瘤次全切除。6例患者(33.3%)术后出现并发症,其中脑脊液鼻漏1例、尿崩症2例、发热1例、低血钠1例、甲状腺功能下降1例。结论多模态神经导航系统通过多图像融合和三维重建原理,联合术中多普勒超声和神经电生理监测实时显示病变与邻近血管、神经的空间关系,提高了颅咽管瘤的全切率,减少了术后并发症的发生率。多模态神经导航系统联合神经内镜在颅咽管瘤手术中的应用显著改善了手术效果,并为颅咽管瘤的手术治疗提供了更好的保障。
Abstract:
To explore the clinical application of multimodal neuronavigation system assisted neuroendoscopy in craniopharyngioma surgery. To improve the safety and effectiveness of surgical resection of craniopharyngioma,and to find the best strategy for surgical treatment of craniopharyngioma. Methods The clinical data of 18 patients who underwent surgical resection of craniopharyngioma by nasal neuroendoscopic surgery assisted by multi-modal neuronavigation system in the Department of Neurosurgery, the First Affiliated Hospital of China Medical University from January 2017 to January 2019 were analyzed retrospectively. The surgical resection extent and postoperative complications were analyzed. Results The tumor was completely removed in 16 patients(88.9%), and postoperative complications occurred in 6(33.3%), including 1 of postoperative cerebrospinal fluid rhinorrhea, 2 of diabetes insipidus, 1 of fever, 1 of postoperative ion disorder(hyponatremia), and 1 of decreased thyroid function. Conclusions Based on the principle of multi-image fusion and three-dimensional reconstruction, the multimodal neuronavigation system combined Doppler ultrasound and neuroelectrophysiological monitoring to indicate the spatial relationship between intraoperative lesions and adjacent blood vessels and nerves in real-time guided operation. The total resection rate of craniopharyngioma is improved and the incidence of postoperative complications is reduced. The application of multimodal neuronavigation system combined with neuroendoscopy in craniopharyngioma surgery has significantly improved the surgical results and provided a better guarantee for the surgical treatment of craniopharyngioma.

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[1]倪洪早,范月超,陈晨,等.经额下纵裂入路显微切除颅咽管瘤的手术策略[J].临床神经外科杂志,2016,(01):9.
[2]毕建华,王小峰,齐春晓,等.《鞍上及鞍内颅咽管瘤经翼点入路和额底入路手术疗效的研究》[J].临床神经外科杂志,2017,14(02):120.
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[3]陈炳霖,王彬彬,骆慧,等.颅咽管瘤显微手术治疗71例分析[J].临床神经外科杂志,2019,16(4):325.[doi:10.3969/j.issn.1672-7770.2019.04.010]
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[5]季骋远,王中,朱昀,等.眶上外侧入路与翼点入路手术治疗颅咽管瘤的临床疗效比较[J].临床神经外科杂志,2020,17(05):543.[doi:DOI:10.3969/j.issn.1672-7770.2020.05.013]
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更新日期/Last Update: 2020-08-18