多模態(tài)影像聯(lián)合多模態(tài)監(jiān)測(cè)輔助切除功能區(qū)腦膠質(zhì)瘤的療效分析

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【中圖分類號(hào)】 R739.41 【文獻(xiàn)標(biāo)志碼】A 【文章編號(hào)】 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號(hào) 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

起源于神經(jīng)膠質(zhì)細(xì)胞的腦膠質(zhì)瘤是最常見的原發(fā)性中樞神經(jīng)系統(tǒng)腫瘤，具有發(fā)病率、復(fù)發(fā)率及死亡率"三高"的臨床特點(diǎn)[]。（剩余10925字）