多模态影像导航融合技术在神经内镜经蝶垂体腺瘤切除术
中的应用体会
韩鹏;李旭琴;于军;金点石;罗可;冷晓磊;胡英杰
【期刊名称】《中国微侵袭神经外科杂志》 【年(卷),期】2017(022)007
【摘要】Objective To explore the application values of multimodal navigation and image fusion technology in neuroendoscopic surgery of pituitary adenomas via transsphenoidal approach. Methods Clinical data of 47 patients with pituitary adenomas were analyzed retrospectively, and endoscopic surgery assisted with navigation via transsphenoidal approach was performed in all the patients. Before the operation, the thin-section CT scans of the sellar region were performed in all the patients, and brain MRA fusion in 40 patients and brain CTA fusion in 7. Results The lesions were accurately positioned by navigation in all the patients. Total tumor resection was achieved in 38 patients and subtotal resection in 9. Cerebrospinal fluid leakage occurred in 3 patients, infection in 1 and transient diabetes insipidus in 1 after the operation. No patient died and no bleeding occurred. During a follow-up period of 3 to 24 months, the preoperative symptoms were improved to different extents in most patients. Recurrence occurred in 3 patients of total resection and 1 in subtotal resection, andγ-knife treatment and resurgery were carried out respectively. Conclusions Neuronavigation
多模态影像导航融合技术在神经内镜经蝶垂体腺瘤切除术中的应用体会
