脑立体定向手术58例临床应用

Cerebral Sterotaxic Surgery: Clinical Analysis of 58 Cases

目的 :探讨脑立体定向手术在颅内深部及功能性病变的诊断和治疗作用。方法 :回顾性分析 5 8例患者的临床资料。结果 :1 8例颅脑深部小病灶行立体定向活检术 ,1 6例取得阳性病理结果 ,并得到有效治疗 ;2 8例震颤麻痹病人行定向丘脑腹外侧核损毁后 ,优良 2 6例 ,明显好转 1例 ,1例 1年复发再次手术。结论 :脑立体定向手术是颅内病变诊断。

Objective: To evaluate the therapeutic effectiveness of sterotaxic surgery for deep cerebral small lesions and functional diseases. Methods: Clinical data of 58 cases were retrospectively revieved. Results: CT-guided sterotaxic biopsy was performed in 18 cases with small cerebral lesions, definite pathological diagnosis was made in 16 cases, and necessary trentment measure was taken afterwards; ventrolateral thalamotomy was performed in 28 cases with functional disease-Parkinson's disease, 26 cases cured, 1 case improved and 1 case operated twice for relapse. Conolusion: Sterotaxic surgery is effective, safe and reliable for patients with deep cerebral lesions and functional diseases.