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題 名 | Intraoperative Neurosurgical Ultrasonography=超音波在神經外科手術中的應用 |
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作 者 | 邵國寧; 陳行素; 李良雄; | 書刊名 | 中華醫學雜誌 |
卷 期 | 62:11 1999.11[民88.11] |
頁 次 | 頁775-781 |
分類號 | 416.13 |
關鍵詞 | 腦; 顱; 手術中; 脊髓; 超音波; Brain; Cranium; Intraoperative; Spine; Ultrasound; |
語 文 | 英文(English) |
中文摘要 | 背景:利用超音波評估□門(fontanelles)尚未關閉的嬰幼兒其顱內病變的情形,已是廣為知曉及應用的技術。由於在神經外科領域中,超音波的使用仍然不多也不廣,因此我們整理在手術中應用超音波輔助的經驗,以發現它的助益。 方法:在過去2年中,我們利用超音波輔助了36例神經外科手術。其中,32例為顱內病變,4例為脊髓腫瘤。手術中使用的超音波探頭頻率為5或7.5MHz。 結果:不論手術部位為何,手術中使用超音波的結果都相當令人滿意。超音波對於確認及定位病變、評估病灶移除的完整性(22例)、適當地放置腦室引流管(5例)、鑑定及導引引流囊狀病灶(3例)等都有確定性的幫助。它還可在手術中隨時施行,即時探查有無出血等併發症的發生。 結論:手術中使用超音波可幫助定位病灶及其鄰近的正常解剖、縮短手術時間、減少手術中腦部的傷害及手術後的神經功能損傷。操作醫師在儀器及技巧上的熟稔度,對手術中使用超音波的價值有決定性的影響。 |
英文摘要 | Background: Ultrasound scanning is a well-established means of evaluating intracranial structures in infants and children with open fontanelles. However, it remains underutilized in neurosurgical operations. We present our experience with the intraoperative use of realtime ultrasonography during 36 neurosurgical procedures. Methods: Thirty-six intraoperative ultrasonography (IOUS) procedures were performed over the past two years. Thirty-two patients had intracranial lesions and four had intraspinal tumors. A real-time scanner equipped with a 5 MHz and a 7.5 MHz transducer was used during surgery. Results: IOUS worked well, regardless of the location of the craniotomy site. It was useful in localizing and characterizing intracranial and intraspinal masses, assuring the completeness of tumor removal (22 cases), proper positioning of ventricular shunt catheters (5 cases), guiding and confirming the decompression of cysts or abscesses (3 cases) and real time monitoring of surgical complications (36 cases). Conclusions: IOUS can be helpful in defining intracranial and intraspinal lesions as well as normal architecture. It shortens the operative time and decreases the surgical morbidity. The expertise of the physician with sonographic equipment facilitates its accurate and expedient intraoperative neurosurgical application. |
本系統中英文摘要資訊取自各篇刊載內容。