术中超声检查在神经外科中的应用:一个机构的经验

IF 0.1 Q4 SURGERY
Robinson Antonio Menegotto Marques, Adriana Hernandez Marques, Amanda Hernandez Marques
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引用次数: 0

摘要

摘要目的术中超声(iou)是一种可用于多种神经外科手术的成像方法。它有助于切除脑肿瘤、血肿、插入脑室导管以及脊髓和周围神经手术。最初使用借据进行的研究是在产生低质量图像的设备上进行的,人们对借据的使用兴趣不大。超声设备的引入产生了高质量的图像,并且成本相对较低,使用方便,这使得欠条具有吸引力。因此,我们开始在多种神经外科手术中使用它,研究它的实用性、有效性和局限性。材料与方法回顾性分析2014年8月至2020年12月某医院神经外科使用欠条的病例,评价其实用性、有效性及局限性。结果112例19 ~ 83岁(平均53.8岁)患者共行欠条扫描127次,其中脑部106次,脊髓4次,周围神经2次。以脑肿瘤居多,86例(67.8%)。欠条不合格9例(7.1%),无欠条相关感染病例。结论白条考试是一种动态、安全、实用的考试。它可以在几分钟内完成,并在手术过程中重复几次。它使外科医生能够观察组织和血管的脉动,液体收集中肿块的位移,并以生动,互动和实时的图像监测囊肿和积液的排出。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Intraoperative Ultrasonography in Neurosurgery: Experience of an Institution
Abstract Objective Intraoperative ultrasound (IOUS) is an imaging method that can be used in various neurosurgical procedures. It assists in the removal of brain tumors, hematomas, in the insertion of ventricular catheters, and in spinal and peripheral nerve surgeries. The original studies using IOUS were performed with devices that produced lower-quality images, generating little interest in their use. The introduction of ultrasound devices that yielded higher-quality images associated with a relative low cost and ease of use rendered IOUS attractive. Thus, we started using it in multiple neurosurgical procedures, studying its practicality, efficacy and limitations. Materials and methods A retrospective case study on the use of IOUS in neurosurgery from August 2014 to December 2020 at a single institution, evaluating its practicality, efficacy and limitations. Results A total of 127 IOUS scans were performed in 112 patients aged 19 to 83 (mean: 53.8) years: 106 scans of the brain, 4 of the spinal cord, and 2 of the peripheral nerves. Brain tumors were the majority, with 86 cases (67.8%). The IOUS was unsatisfactory in 9 cases (7.1%), and there were no cases of infection related to the IOUS. Conclusion The IOUS is a dynamic, safe, and practical exam. It can be performed in a few minutes and repeated several times during the surgical procedure. It enables surgeons to observe the pulsation of tissues and vessels, the displacement of lumps in liquid collections, and to monitor the drainage of cysts and collections, in vivid, interactive and real-time images.
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来源期刊
CiteScore
0.20
自引率
0.00%
发文量
68
审稿时长
12 weeks
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