唤醒开颅术的及在低级别胶质瘤手术的应用

苏 文, 杨 军
滨州医学院烟台附属医院

摘要

神经胶质瘤是颅内最常见的原发性神经上皮肿瘤。根据2007年WHO中枢神经系统肿瘤分类，其中I级和Ⅱ级属于低级别胶质瘤，约占成年人胶质瘤的15%，主要包括星形细胞瘤、少突胶质瘤和少突星形细胞瘤。此类肿瘤往往病变范围较广，呈浸润性生长，累及功能区。唤醒开颅术又称之为“唤醒麻醉功能去脑肿瘤的切除术”，是术中患者在清醒状态下行电刺激技术进行脑功能区定位，最大限度地切除病灶，同时尽可能地保护正常脑功能，关系到患者术后的生存质量，已日益受到临床重视。在本文中，回顾近年内国外内的文献，就唤醒开颅术及其在低级别胶质瘤的应用等方面进行综述。

关键词

唤醒开颅术；低级别胶质瘤；神经功能。

参考

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