| Objective:To evaluate the feasibility and application value of ultrasound and CT/MRI fusion imaging technology in the surgical resection of small deep intracranial tumors,ultrasound images and CT/MRI images were fused,and guide the resection of the small deep intracranial tumors,compared and statistical analysis the operation time、surgical cavity、postoperative complications(neural function impairment,intracranial infection),postoperative hospital stay,preoperative and postoperative patient psychological conditions with traditional surgical resection of deep intracranial small tumors.Methods:62 Patients were diagnosed by imaging as a small deep intracranial tumor requiring surgical treatment were randomly divided into ultrasound and CT/MRI fusion imaging group 31 cases and traditional surgery group 31 cases,of whom attended the Department of Neurosurgery of Yunnan Cancer Hospital from October 2018 to December 2020 In the fusion imaging group,the tumor was resected under the microscope guided by the intraoperative US and CT/MRI fusion imaging navigation system,and the traditional group was resected under the microscope according to the preoperative CT/MRIimaging location.Re-check CT within 6 hours after the operation,and count the data on the operation time,surgical cavity,postoperative complications(neural function impairment,intracranial infection),postoperative hospital stay,preoperative and postoperative psychological status of the patients in the two groups.The data were included in the SPSS24.0 statistical software for processing and measurement The data are expressed as x±s,the two groups were compared by paired t-test,and the count data was by chi-square test.P<0.05 indicated that the difference was statistically significant.According to the statistical results,the feasibility and clinical application value of ultrasound and CT/MRI fusion imaging technology in the surgical resection of small deep intracranial tumors are evaluated.Results:1.The average operation time of the fusion imaging group was 181.74±29.591min,the average operation time of the traditional group was 210.52±32.33min,the fusion imaging group was shorter than the traditional group,and there was a statistical difference between the two groups(P<0.05).2.The average postoperative hospital stay in the fusion imaging group was 14.61 ±3.14 days,and the average postoperative hospital stay in the traditional group was 17.65±3.94 days.The fusion imaging group was shorter than the traditional group,and there was a statistical difference between the two groups(P<0.05).3.The average surgical cavity in the fusion imaging group was 12.15±3.99 cm3;while in the traditional group was 15.60±4.52 cm3.The fusion imaging group was smaller than the traditional group,and there were statistical differences between the two groups(P<0.05).4.The average postoperative NIHSS score of the fusion imaging group was0.13±0.34,and the average postoperative NIHSS score of the traditional group was0.32±0.54.The fusion imaging group was lower than the traditional group,and there was a statistical difference between the two groups(P<0.05);the average preoperative NIHSS score of the fusion imaging group was 0.48±0.77,and the average preoperative NIHSS score of the traditional group was 0.55±0.85,and there was no statistical difference between the two groups(P>0.05);the postoperative NIHSS score of the fusion imaging group was higher,It was significantly reduced before operation,showing a statistical difference(P<0.05);the NIHSS score after the traditional group was significantly lower than that before operation,and there was a statistical difference(P<0.05).5.The average preoperative SCL-90 score of the fusion imaging group was 109.29±2.55,and the average preoperative SCL-90 score of the traditional group was 109.42±2.45.There was no statistical difference between the two groups(P>0.05);The average postoperative SCL-90 score of the fusion imaging group was 107.00±6.02,and the average postoperative SCL-90 score of the traditional group was 106.32±6.71.There was no statistical difference between the two groups(P>0.05).The fusion imaging group had statistically significant differences in the preoperative and postoperative psychological status of SCL-90(P<0.05),and the traditional group had statistically significant differences in the preoperative and postoperative psychological status of SCL-90(P<0.05).6.The postoperative intracranial infection rate(19.35%)and the postoperative neurological impairment rate(29.03%)in the fusion imaging group were lower than those in the traditional group(22.58%,32.26%),and there was no statistical significance between the two groups(P>0.05).Conclusion:1.Ultrasound and CT/MRI fusion imaging technology can provide real-time and accurate guidance in the surgical resection of small deep intracranial tumors to improve the safety and effectiveness of the operation.2.There are statistically significant differences between Surgical resection of the small deep intracranial tumors by the guidance of ultrasound and CT/MRI fusion imaging technology and traditional surgical resection of small deep intracranial tumors in terms of operation time,postoperative hospital stay,surgical cavity,and postoperative neurological impairment NIHSS score.Ultrasound and CT/MRI fusion imaging technology guiding the operation of small deep intracranial tumors improves the quality and safety of the operation compared with traditional surgery.3.Ultrasound and CT/MRI fusion imaging technology can shorten the surgical learning curve of deep intracranial small tumors in the surgical resection of small deep intracranial tumors,and has certain clinical application value for the growth of young neurosurgery physicians.4.Ultrasound and CT/MRI fusion imaging technology combines the advantages of the two imaging methods and overcomes the limitations.It is a worthy technology popularizing in hospitals,where are not equipped with an intraoperative functional magnetic resonance navigation system. |
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