Savitz M H
Division of Neurosurgery, Nyack Hospital, NY, USA.
Mt Sinai J Med. 2000 Sep;67(4):318-21.
To assess free-hand needle procedures with CT guidance for biopsy and drainage of brain lesions.
A series of 184 operations was carried out on 120 patients over a 20-year period. Sixty (60) cases of suspected neoplasm were biopsied; 40 cases of intracerebral hemorrhage and 20 cases of intracranial suppuration underwent drainage.
The morbidity and mortality of the methods described were quite low due to steroid therapy, prophylactic antibiotics, and careful preparation of the access site. There was one complication of postoperative hemorrhage in a patient with metastatic melanoma.
The simple and accurate techniques presented continue to have widespread application in the practice of neurosurgery and compare quite favorably with techniques using more elaborate equipment, stereotactic frames, and intraoperative monitoring.
评估在CT引导下对脑病变进行活检和引流的徒手穿刺操作。
在20年期间，对120例患者进行了一系列184例手术。对60例疑似肿瘤病例进行了活检；对40例脑出血和20例颅内化脓病例进行了引流。
由于采用了类固醇疗法、预防性抗生素以及对穿刺部位的精心准备，所述方法的发病率和死亡率相当低。1例转移性黑色素瘤患者术后出现出血并发症。
所介绍的简单而准确的技术在神经外科实践中仍有广泛应用，与使用更精密设备、立体定向框架和术中监测的技术相比，具有相当的优势。
