3.0T术中磁共振在脑胶质瘤切除中的应用研究教案分析.docxVIP

临床研究 3.0T术中磁共振在脑胶质瘤切除中的应用研究 葛光治 张强 杨艺 白俊超 徐如祥 作者单位：100700 北京，北京军区总医院附属八一脑科医院 通信作者：徐如祥；Email： HYPERLINK mailto:zjxuruxiang@163.com zjxuruxiang@163.com 【摘要】 目的 探讨3.0 T高场强术中磁共振在脑胶质瘤手术切除中的应用价值。 方法 回顾性分析2011年1月~2013年12月北京军区总医院收治的152例脑胶质瘤患者资料，其中单纯神经导航指导下切除肿瘤85例(导航组)，术中磁共振神经导航切除肿瘤67例(术中组)，术后1周内行磁共振检查，分析比较两组患者的肿瘤切除率以及患者预后的差异。 结果 152例患者均成功实施肿瘤手术切除，术中组肿瘤全切60例，次全切除4例，大部切除2例，部分切除1例，预后良好率94.0%，导航组全切除61例，次全切除8例，大部分切除9例，部分切除7例，预后良好率72.9%，术中组肿瘤切除率及预后都明显好于导航组。无磁共振不良事件发生，患者无感染。 结论 3.0T高场强术中磁共振神经导航技术有助于实时纠正术中脑移位误差，精确定位胶质瘤影像学边缘，指导临床最大程度切除胶质瘤，保留神经功能区，改善患者预后。 【关键词】 术中磁共振，神经导航，胶质瘤，切除率，预后 3.0T intraoperative application of?magnetic resonance?in?resection of?gliomas GE Guang-zhi, ZHANG Qiang, YANG Yi, BAI Jun-chao, Xu Ru-xiang. Bayi Brain Hospital Affiliated to Military General Hospital of Beijing, Beijing 100700, China Corresponding author: Xu Ru-xiang, Email:zjxuruxiang@163.com ?【Abstract】 Objective To investigate 3.0T high-field intraoperative MRI applications in surgical resection of gliomas. Methods A retrospective analysis of 152 cases of brain glioma patient data from January 2011 to December 2013 in our hospital, including 85 cases of tumor resection (navigation group) under the guidance of a simple neural navigation, intraoperative MRI neuronavigation resection 67 cases (iMRI group). MRI performed within one week after surgery. To analyze the differences between the two groups of patients with tumor resection rate and prognostic. Results 152 cases were successfully implemented tumor resection, intraoperative tumor total resection 60 cases, subtotal resection in 4 cases, subtotal two cases, one case of partial resection, the prognosis is good rate of 94.0%, total removal of the navigation group 61 cases, times 8 cases resection, subtotal 9 cases, partial resection in 7 cases, the prognosis is good rate 72.9%, intraoperative tumor resection rate and prognosis are significantly better than the navigation group. No MRI-related adverse events, no patie