在内镜下垂体手术中使用印ocyanine Green (ICG):系统性审查
Yousif F Jubouri1, Rohan Chikhal2, Shahzada Ahmed3
1Aston Medical School, Aston University, Aston St, Birmingham B4 7ET, United Kingdom.
Neuro-Chirurgie
|February 6, 2026
概括
印ocyanine Green (ICG) 光成像通过改善瘤可视化和外科准确性来增强内镜下垂体手术. 这一审查证实了ICG的认可.
科学领域:
- 神经外科 神经外科
- 手术瘤学手术瘤学
- 医疗成像医学成像
背景情况:
- 内镜下垂体手术是治疗下垂体瘤的关键手术.
- 术内可视化仍然是一个挑战,影响手术精度.
- 印ocyanine Green (ICG) 光成像为增强可视化提供了潜在的可能性.
研究的目的:
- 系统地审查ICG光成像在内镜下垂体手术中的疗效和临床效用.
- 评估ICG对瘤划线,切除程度和解剖方向的影响.
- 综合ICG在垂体外科手术中的技术分层结果.
主要方法:
- 通过2025年2月进行的PRISMA引导的系统文献搜索.
- 包括11项研究,其中150名成年患者接受了ICG的内镜下垂体手术.
- 提取和分析有关患者人口统计,瘤特征,ICG协议以及手术/内分泌结果的数据.
主要成果:
- 在93.6%的病例中,ICG光可视化了目标,有助于边缘划分和解剖绘制.
- 延迟窗口ICG (DWIG) 显示89%的灵敏度和75%的特异性;第二窗口ICG (SWIG) 显示100%的灵敏度和20-29%的特异性.
- 总切除率高 (80-87.5%),并发症率低,并没有报告ICG特定的不良事件.
结论:
- ICG光是内镜下垂体手术的一个有前途的辅助,增强手术内可视化和指导.
- 技术分层合成 (球体,DWIG,SWIG) 整合了临床结果,与先前的审查不同.
- 标准化方案和前性研究是必要的,以验证诊断性能和建立常规使用.
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