The Research Of Intraoperative Ultrasound Accurate Positioning And Postopetative Rehabilitation On The Prognosis Of Intracranial Tumors

Background Along with the progress of aging population, the incidence of intracranial tumors increases year by year. Intracranial tumors, with high incidence, high mortality and high morbidity, have become a major threat to human life and health. At present, the fundamental mechanism of intracranial tumors is unclear, and the main treatment of intracranial tumors is surgery. However, many patients will leave with different degrees of paralysis and aphasia after the surgery. Thus, how to reduce the intraoperative damage to the normal brain tissues, lower the postoperative morbidity, and then improve the prognosis of patients with intracranial tumors is of great importance. Intraoperative ultrasound can pinpoint the tumor lesions and help the surgery staff to complete resection of the tumors. Besides, it can avoid the damage to the large vessels and tissues, then reduce the incidence of postoperative complications such as cerebral edema. Rehabilitation plan, made according to the patient’s condition, may play a positive role in improving the patient’s activities of daily living. Objective Explore the effect of intraoperative ultrasound and postoperative rehabilitation on intracranial tumors. Methods Selected 90 patients diagnosed with intracranial tumors using cranial MRI and CT imaging examination, et al. All of the patients were doctored in the neurosurgery clinics of the first affiliated hospital of anhui medical university from January 2013 to June 2013, and all of these patients were accompanied by hemiparesis and aphasia. Divided these patients randomly into three groups. Patients with intraoperative ultrasound were set as the ultrasound group. Patients with postoperative rehabilitation were set as the rehabilitation group. Patients without intraoperative ultrasound and postoperative rehabilitation were set as the controls. There are 30 patients in each group. Respectively, followed up the patients after three months after the surgery(telephone or clinic follow-up), analyzed and compared the recovery situation of hemiplegia and aphasia. Results In the 22 cases of patients with hemiplegia in the ultrasound group, 21 patients had the basic self-care ability, such as walking and eating, only 1 patients still need to use crutches auxiliary. All patients in the rehabilitation group had the basic self-care ability, such as walking and eating. However, in the control group, there were 18 patients had the basic self-care ability, the other 5 patients need a wheelchair when walking. To the comparison of aphasia, there were 8 patients could completely express their willingness and had a short talk with people. Among the 12 patients in the rehabilitation group, there were 10 patents could completely express their willingness while the other 2 patients could not say a sentence. However, in the control group, there were 5 patients could name the ommon things and has a short talk with people, the other two patients were unable to complete express a sentence. Conclusion Real-time intraoperative ultrasound-assisted resection of intracranial tumors could pinpoint the tumor lesions and reduce the degree of damage to the important vascular lesions and tissues around the tumors. Besides, the intraoperative ultrasound was useful to complete resection of the tumors and it could effectively reduce the incidence of postoperative edema and cerebral infarction, et al. Both the intraoperative ultrasound and the postoperative rehabilitation were able to effectively relieve the symptoms of hemiparesis and aphasia in patients with intracranial tumors, which would have a very positive and effective impact on the prognosis of patients with brain tumors.