立体定向手术治疗锥体外系疾病(602例报告)  

Stereotactic surgery in the treatment of extrapyra-midal disorders (with 602 cases report)

作　　者：吴声伶[1] 吴鸿勋[1] 陈东朝[1] 梁军潮[1] 肖安平[1] 易声禹[2] 

机构地区：[1]广东微侵袭神经外科治疗中心,广州510010 [2]西京医院神经外科,西安710032

出　　处：《微侵袭神经外科杂志》1996年第1期39-42,共4页

摘　　要：本文介绍作者在18年中共对602例震颤麻痹等锥体外系疾病采用立体定向手术治疗的经验。557例震颤麻痹用术有效率由早期82.3％上升达95％～98％.并发症由15.7％降至5％以下,死亡率由1.08％降至0.25％,并对新近采用γ-刀治疗震颤麻痹作了初步报导。602 cases of extrapyramidal disorders (557 cases of paralysis agitans, 41 cases of torsion-spasm and 4 cases of chorea) were treated with stereotactic operation by making lesions in the ventrolateral nuclei of the thala-mus. Of the 557 cases, of paralysis agitans, the effective rate following surgery has increased from 82. 3% to 98% , the complications, decreased from 15. 7% to less than 5%, and the mortality rate, decreased from 1. 08% to 0. 25% in the recent group. As to torsion-spasm and chorea, the surgical treatment has got some effect, however, their surgical indication should be restricted. The authors discussed their operative experiences in detail, and the preliminary gamma knife treatment results for paralysis agitans are also reported.

关 键 词：立体定向手术 治疗 锥体外系疾病 震颤麻痹 Γ-刀 

分 类 号：R742.5[医药卫生—神经病学与精神病学]