《国内外神经外科联合影像核医学科临床治疗历程回溯暨循证医学情报解析》

Domestic and Overseas History of Clinic Treatment on Joint Image Nuclear Medicine:A Review of the Historic Progress and Evidence-based Medical Information Analysis

神经外科从初期的创伤极大的开颅器大面积开颅,导致术后致残并发症发生率、术后感染死亡率、术后二进宫率居高不下,到80年代后期初步与影像核医学的探索联合治疗颅内恶性肿瘤等重症颅内疾患,探索期的a刀、r刀研究到临床施用,历经两代临床医生的研究科研,发展到氩氦刀时期,到如今的冷冻刀应用于肿瘤的治疗,患者的并发症已经极微,术后生存率、生存质量大幅提高,美法开展的进一步的机器人远程手术开拓,救治范围更远更高,本文从循证医疗角度进行医学情报解析,为医生进一步制定临床医疗方案,患者择医、选择可接受的治疗方案,提供循证临床医疗证据。

The craniotome operations of the early times would cause large area of trauma and led to large areas of post-operated trauma,high death rate caused by infection and high rate of remedial operation.Starting from late 1980s,largely because of the tentative explorations like the combination with the Image nuclear medicine applying to the serious encephalic operations like malignancies,because of the tentative applications of a knife and r knife,because of the development and promotion of cryosurgery especial y its application in onco-therapy,the patients'syndrome,post-operated survival rate as wel as the quality of life have been greatly improved.Furthermore,the development of remote robotic surgery by U.S.and France would bring great changes for future treatment.In this paper is going to conduct an information analysis through the perspective of Evidence-Based Medicine(EBM),providing EBM clinical evidences to formulate bet er treatment plan both for surgeons to consider and for patients to choose.