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目的探讨超声引导在脑胶质瘤手术切除中的应用价值。方法回顾性分析2014年1月至12月间在灯塔市中心医院接受手术的93例脑胶质瘤患者的临床资料,将2014年7~12月采用术中超声引导的50例患者作为观察组;2014年1~6月术中未采用超声引导的43例患者作为对照组。观察两组患者的手术切除时间和肿瘤全切率。结果研究组患者的肿瘤切除时间为34~159(84.38±29.27)min,对照组为39~196(119.28±44.39)min,组间差异有统计学意义(P<0.05)。研究组患者肿瘤全切率为78.0%,对照组为48.8%,差异有统计学意义(P<0.01)。结论手术中超声引导可降低脑胶质瘤肿瘤切除时间,提高全切率,对胶质瘤的治疗有着重要的临床意义。
Objective To investigate the value of ultrasound guidance in resection of glioma. Methods The clinical data of 93 patients with glioma who underwent surgery at Beacon Hospital from January 2014 to December 2014 were analyzed retrospectively. Fifty patients guided by intraoperative ultrasound during July to December 2014 were selected as the observation group ; 43 patients who did not use ultrasound guidance from January to June 2014 as the control group. The surgical resection time and tumor resection rate were observed in both groups. Results The tumor resection time was 34 ~ 159 (84.38 ± 29.27) min in the study group and 39 ~ 196 (119.28 ± 44.39) min in the control group, with significant difference between the two groups (P <0.05). The total tumor resection rate was 78.0% in the study group and 48.8% in the control group, the difference was statistically significant (P <0.01). Conclusion Ultrasound guided by surgery can reduce the time of resection of glioma tumor and improve the rate of complete resection. It has important clinical significance for the treatment of glioma.