实用肿瘤学杂志 ›› 2015, Vol. 29 ›› Issue (3): 221-224.doi: 10.11904/j.issn.1002-3070.2015.03.007

• 论著 • 上一篇    下一篇

荧光素钠引导辅助下切除胶质瘤的应用

刘明1, 刘晓亮1, 刘楠2, 罗毅男1   

  1. 1.吉林大学第一医院神经肿瘤外科(长春 130021);
    2.吉林大学第一医院麻醉科
  • 收稿日期:2014-12-17 出版日期:2015-06-28 发布日期:2015-06-25
  • 通讯作者: 罗毅男 E-mail:luoyn78@163.com
  • 作者简介:刘明,男,(1986-),硕士研究生,从事神经肿瘤方向的研究

The application of fluorescein sodium guided resection in glioma

LIU Ming1,LIU Xiaoliang1,LIU Nan2,LUO Yinan1   

  1. 1.Department of Neurosurgery,The First Hospital,Jilin University,Changchun 130021,China;
    2.Department of Anesthesiology,The First Hospital of Jilin University
  • Received:2014-12-17 Online:2015-06-28 Published:2015-06-25

摘要:

目的 探讨在荧光显微镜下,应用荧光素钠发出的荧光来确定胶质瘤边界,进而通过手术更彻底地切除胶质瘤。方法 随机选择吉林大学第一医院收治的14例患者作为研究对象。患者术前依据其病史、体征、查体及影像检查,诊断为胶质瘤。术中应用荧光素钠所发出的黄色荧光来确定肿瘤边界,并切除肿瘤,根据荧光强度强弱不同,进行不同部位取材,病理诊断以确定荧光引导的边界是否准确,患者术后行MRI检查以明确肿瘤的切除情况,并观察患者术后神经功能情况。结果 胶质瘤在荧光显微镜下能够被激发出黄荧光,而正常脑组织在荧光显微镜下不发光。术后病理结果显示黄色荧光区域内含有大量的胶质瘤细胞,淡黄色荧光区域内有少量的胶质瘤细胞。术后增强MRI扫描证实,应用荧光素钠能够更彻底地切除胶质瘤,患者术后功能障碍发生率减少。结论 荧光素钠引导确定胶质瘤边界较肉眼评估更准确,降低肿瘤的复发率,减少正常脑组织损伤,提高患者术后生存质量。

关键词: 荧光素钠, 神经胶质瘤, 手术治疗

Abstract:

Objecitive Under the fluorescent microscope,we used fluorescein sodium fluorescence to determine glioma boundary,thus gliomas removed through surgery more thoroughly.Methods We randomly selected 14 patients who were admitted in the First Hospital of JiLin University as the research objects,patients with glioma were diagnosed as glioma according to the physical signs,physical examination,and imaging findings before surgery.Diagnosed with glioma,intraoperative application of fluorescein sodium yellow fluorescence was determined the tumor boundary,and removal of the tumor,according to the fluorescence intensity strength is different.The pathological diagnosis was to determine the boundary of fluorescent was accurate.Postoperative examined MRI was performed in order to make clear the excision of the tumor,and the neurological condition of postoperative was observed.Results Glioma could be inspired by yellow fluorescence under fluorescent microscope.The normal brain tissue was not light.Postoperative pathological Results showed that the fluorescent yellow area contained a lot of glioma cells,pale yellow fluorescence area found a small amount of glioma cells.Postoperative enhanced MRI scan had confirmed that application of fluorescein sodium could be more thoroughly resection of glioma,postoperative dysfunction was reduced.Conclusion This method is prior to tumor boundary observasion without fluoresent staining and reducing the recurrence of the tumor and reducing the normal brain tissue damage,and therefore,improving the quality of postoperative survival of patients.

Key words: Fluorescein sodium, Glioma, Surgical treatment

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