多模态影像联合多模态监测辅助切除功能区脑胶质瘤的疗效分析
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【中图分类号】 R739.41 【文献标志码】A 【文章编号】 1672-7770（2025）03-0284-07
Abstract： ObjectiveTo investigate the application value multimodal imaging combined with multimodal moniring techniques in assisting the surgical resection gliomas situated in eloquent brain areas. MethodsThe clinical data 112 patients with glioma in eloquent areas admitted from January 2O18 December 2O23 were analyzed retrospectively. All were divided in the multimodal group（69 cases） and the microsurgery group （43 cases）based on the utilization preoperative multimodal imaging and intraoperative multimodal moniring. Comparative evaluations included gross tal resection rate，complication incidence， operative time， intraoperative blood loss，hospitalization duration， posperative neurological function，tumor recurrence，and survival outcomes.ResultsThe multimodal group exhibited a significantly higher gross tal resection rate compared the microsurgery group（ 76.8% Us 58.1% ， （204号 P=0.037 ），alongside markedly reduced complication rates， intraoperative blood loss，and hospital stay duration（all P<0.05 ）.Additionally，posperative Karnsky performance status scores were significantly improved in the multimodal group（ P<0.05） . The multimodal also demonstrated lower posperative recurrence rates （ P<0.05） ）and an extended median survival t ime（χ2=4.454，P= 0.035）. Despite the longer operative duration observed in the multimodal group（ P<0.05， ，no significant diffrence was found in posperative pulmonary infection rates between the two groups （ P>0.05 ）.ConclusionsThe individualized combined application preoperative multimodal imaging and intraoperative multimodal moniring strategies enhances tumor resection rates ， mitigates neurological injury，improves posperative functional outcomes，and extends survival in patients with gliomas located in eloquent brain areas.
Key words： glioma in eloquent areas ; multimodal image ;intraoperative moniring technique; surgical treatment
起源于神经胶质细胞的脑胶质瘤是最常见的原发性中枢神经系统肿瘤，具有发病率、复发率及死亡率"三高"的临床特点[]。（剩余10925字）