KẾT QUẢ ĐIỀU TRỊ U TẾ BÀO HÌNH SAO BẬC THẤP TRÊN LỀU CÓ SỬ DỤNG ĐỊNH VỊ THẦN KINH TẠI BỆNH VIỆN VIỆT ĐỨC

Abstract

Objective: To evaluate the surgical outcomes of supratentorial low-grade astrocytomas using the neuro-navigation system. Methods: A cross-sectional descriptive study was conducted on 59 patients diagnosed with supratentorial low-grade astrocytomas who underwent surgery with neuro-navigation at Viet Duc Hospital from January 2022 to March 2024. Results: Among the 59 patients, postoperative symptoms showed significant improvement upon discharge. The rate of motor function improvement and preservation after surgery was 96.18%. Quality of life, as measured by the Karnofsky Performance Status Scale, significantly improved, with scores above 80 after the operation and at the 3-6 month follow-up. The postoperative complication rate was low, with brain edema in 7.7%, bleeding in 3.4%, and ventricular dilation in 1.7%. The postoperative mortality rate was low at 3.39%. Conclusion: Microsurgical resection of supratentorial low-grade astrocytomas using a neuro-navigation system has a high success rate with few complications, demonstrating the feasibility and effectiveness of the procedure when aided by intraoperative MRI and neuronavigation. This support enhances accuracy and improves the quality of life for patients.