| Rosa机器人辅助立体定向颅内活检术的临床应用 |
| |
| 引用本文： | 邬,立,孙允伟,陆,斌,周子健,李方宝,李,洛.Rosa机器人辅助立体定向颅内活检术的临床应用[J].中国临床神经外科杂志,2021,26(8):584-586. |
| |
| 作者姓名： | 邬 立 孙允伟 陆 斌 周子健 李方宝 李 洛 |
| |
| 摘 要： | 目的 探讨Rosa机器人辅助下立体定向颅内活检术的临床应用效果。方法 回顾性分析2018年10月至2020年8月在Rosa机器人辅助下进行颅内占位立体定向活检术的33例病人的临床资料。结果 术中没有发生导航故障，所有程序都如期完成。33例进行76个靶点穿刺活检术，术后未发现颅内出血，术后无癫痫发作。33例活检阳性率为100%，其中胶质瘤21例，弥漫大B细胞淋巴瘤5例，血管畸形2例，转移性腺瘤1例，生殖细胞肿瘤2例，间变性脑膜瘤1例，炎性脱髓鞘1例。21例胶质瘤中，检测出IDH-1突变6例（28.6%），MGMT启动子甲基化16例（76.2%）。1例间变性少突胶质细胞瘤检测出1p/19q杂合性缺失。结论 Rosa机器人辅助立体定向无框架活检术是一种相对安全，可行的操作，可用于颅内病变的组织学和分子诊断。
|
| 关 键 词： | 颅内病变 Rosa机器人 立体定向活检术 |
Clinical application of Rosa robot-assisted stereotactic intracranial biopsy |
| |
| WU Li,SUN Yun-wei,LU Bin,ZHOU Zi-jian,LI Fang-bao,LI Luo..Clinical application of Rosa robot-assisted stereotactic intracranial biopsy[J].Chinese Journal of Clinical Neurosurgery,2021,26(8):584-586. |
| |
| Authors: | WU Li SUN Yun-wei LU Bin ZHOU Zi-jian LI Fang-bao LI Luo |
| |
| Affiliation: | Department of Neurosurgery, Eastern Branch, Qingdao Municipal Hospital, Qingdao 266000, China |
| |
| Abstract: | Objective To explore the efficacy of Rosa robot-assisted stereotactic intracranial biopsy. Methods The clinical data of 33 patients with intracranial lesion who underwent Rosa robot-assisted stereotactic intracranial biopsy from October 2018 from August 2020. Results There was no navigation failure during the operation, and all procedures were completed successfully. Seven-six biopses were performed on these 33 patients, with no intracranial hemorrhage and epileptic seizures after the operation. The positive rate was 100%, including 21 patients with glioma, 5 with diffuse large B-cell lymphoma, 2 with vascular malformation, 1 with metastatic adenoma, 2 with germ cell tumor, 1 with anaplastic meningioma, and 1 with inflammatory demyelination. Of 21 patients with glioma, IDH-1 mutation was detected in 6 patients (28.6%), and MGMT promoter methylation was detected in 16 patients (76.2%). The loss of 1p/19q heterozygosity was found in 1 patient with anaplastic oligodendroglioma. Conclusions Rosa robot-assisted stereotactic frameless biopsy is a relatively safe and feasible operation, which can be used for histological and molecular diagnosis of intracranial lesions. |
| |
| Keywords: | Intracranial lsion Rosa robot Stereotactic biopsy |
| 本文献已被 CNKI 等数据库收录！ |
| 点击此处可从《中国临床神经外科杂志》浏览原始摘要信息 |
|
点击此处可从《中国临床神经外科杂志》下载全文 |
|
