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《Medical Journal of West China》 2013-04
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The Clinical application value of intraoperative ultrasound in microsurgical resection of small intracerebral lesions

CHEN Zhi-gang,ZHUANG Jin-xue,Long Bin et al(Department of Ultrasound,The 452nd hospital of PLA,Chengdu 610021,Sichuan,China)  
Objective To evaluate the surgical outcome after resecting small intracerebral lesions by means of real-time intraoperative ultrasound(IOUS) and to explore its clinical application value.Methods 18 cases were involved in this study,including 14 cavernous malformations and 4 gliomas,with their diameter less than 3cm.After craniotomy,IOUS is used to locate the lesions and help to select the surgical approach pre-resection,define the range and observe the residue during and after operative procedure.Results All lesions are localized accurately and resected completely.No neurological dysfunction occurred in 13 patients whose lesions lie in non-functional area,while 2 cases presented slight hemiplegia in 5 cases whose lesions were in eloquent area.During half year's follow-up,the 2 patients recovered with normal muscular strength.Conclusion Intra-operative ultrasound can accurately locate small intracerebral lesions and it is helpful for selecting the proper approach,increasing the total resection rate and improving surgical outcome as well as reducing morbidity and mortality.
【CateGory Index】: R739.41
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