脑内小病灶立体定向直视手术—82例临床分析  

Open stereotactic resection of small intracranial lesions.report of 82 cases

作　　者：宋国忠[1] 张剑宁[1] 章翔 

机构地区：[1]西安市第一医院脑外科

出　　处：《立体定向和功能性神经外科杂志》1999年第1期22-23,共2页Chinese Journal of Stereotactic and Functional Neurosurgery

摘　　要：目的：应用立体定向直视手术，摘取颅内小病灶。方法：ＣＴ导向立体定向技术开颅治疗脑内小病灶８２例。其中额叶４２例，顶叶３４例，顶枕部４例，侧脑室１例，丘脑１例。临床表现以癫痫为主７５例，偏瘫２７例，偏身感觉障碍２１例，语言障碍１６例。采用ＣＴ导向立体定向显微直视手术切除病灶。结果：７９例术后神经损害症状消失，３例明显减轻，无新的神经损害症状，无手术并发症及手术死亡。Here we report a series of 82 patients suffering from small intracranial lesions underwent open stereotactic resection procedurds.The ldsions were located in frontal lobe(42 patients),parietal lobe (34 patients),parietal-occipital lobe(4 patients),lateral ventricle(1 patients) and thalamus(1 patients).The mian clinical manifestation were seizure(75 patients),paralysis(27 patients),and verbal difficulty(16 patients).The open stereotactic microsurgery were employed to resect the lesions.The results showed that the nuruological deficits disappeared in 79 patients,apparently relieved in 3 patients.There were no new neurological damage caused by the procedure,no operative complication and no mortality.

关 键 词：CT 显微外科手术 脑内小病灶 立体定向术 

分 类 号：R651.11[医药卫生—外科学]