neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.63769/1683-3295-2017-0-4-96-104neurosurgery-506Research ArticleОБЗОРЫ ЛИТЕРАТУРЫLITERATURE REVIEWХИРУРГИЯ СПИННОГО МОЗГА И НЕРВНЫХ КОРЕШКОВ С ИСПОЛЬЗОВАНИЕМ ИНТРАОПЕРАЦИОННОГО УЛЬТРАЗВУКОВОГО ИССЛЕДОВАНИЯSURGERY OF SPINAL CORD AND SPINAL ROOTS WITH THE USAGE OF INTRAOPERATIVE ULTRASOUND EXAMINATIONЛевинР. С.LevinR. S.

Левин Руслан Салаудиевич, врач-нейрохирург нейрохирургического отделения. 

119991, Москва, Абрикосовский переулок, д.2

dr.levin.neuro@yandex.ruВасильевС. А.Vasil’evS. A.

Васильев Сергей Амурабиевич, заведующий нейрохирургическим отделением, д.м.н. 

119991, Москва, Абрикосовский переулок, д.2

2481129@mail.ruАслануковМ. Н.AslanukovM. N.

Аслануков Марат Назирович, врач-нейрохирург нейрохирургического отделения. 

119991, Москва, Абрикосовский переулок, д.2

dr-aslan@rambler.ruЗуевА. А.ZuevA. A.

Зуев Андрей Александрович, заведующий нейрохирургическим отделением, к.м.н.

119991, Москва, Абрикосовский переулок, д.2

mosbrain@gmail.comФГБНУ «Российский научный центр хирургии им. академика Б.В. Петровского».Russian FederationФГБУ «Национальный медико-хирургический центр им. Н.И. Пирогова».Russian Federation2017210420180496104Copyright © Левин Р.С., Васильев С.А., Аслануков М.Н., Зуев А.А., 20182018Левин Р.С., Васильев С.А., Аслануков М.Н., Зуев А.А.Levin R.S., Vasil’ev S.A., Aslanukov M.N., Zuev A.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therjn.com/jour/article/view/506Цель

Цель. Обзор литературы о клиническом применении ультразвуковой навигации в хирургическом лечении спинного мозга и нервных корешков.

Материалы и методы

Материалы и методы. Проведен анализ 79 публикаций международной базы данных Pubmed, в которых использован метод ультразвуковой навигации у пациентов с экстрамедуллярными и интрамедуллярными опухолями, сирингомиелией, арахноидальными кистами, аномалией Арнольда-Киари. Работы были опубликованы с 1984 г. до января 2017 г.

Результаты

Результаты. Метод интраоперационного ультразвукового исследования позволяет проводить навигацию в режиме реального времени, предоставляя хирургу изображения структур не доступных прямой визуализации в высоком качестве, что позволяет оптимизировать хирургические манипуляции.

Заключение

Заключение: Метод интраоперационного ультразвукового исследования в хирургии спинного мозга и нервных корешков является перспективным, простым в обучении, эффективным для интраоперационной визуализации, не требующим высоких экономических затрат. 

Objective

Objective. Literature review dedicated to clinical usage of ultrasound navigation in surgical treatment of spinal cord and nerve roots.

Material and methods

Material and methods. Authors analyzed 79 papers from 1984 to 2017 of Pubmed database dedicating to ultrasound navigation in patients with extramedullary and intramedullary tumors, syringomyelia, arachnoid cysts, Arnold—Chiari malformation.

Results

Results. Intraoperative ultrasound examination (IOUE) allows conducting navigation in real-time mode, providing images of those structures not available for direct visualization in high quality, that is allows optimizing the surgical manipulations.

Conclusions

Conclusions: IOUE in surgery of spinal cord and nerve roots is perspective method, which is simple in teaching and effective for intraoperative visualization not requiring high economical costs.

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The authors declare that there are no conflicts of interest present.