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[上世纪波兰帕金森病的外科治疗]

[Surgical treatment of Parkinson's disease in Poland in the last century].

作者信息

Bidziński J

机构信息

Kierownik Kliniki Neurochirurgii A.M. w Warszawie.

出版信息

Neurol Neurochir Pol. 2001 Nov-Dec;35(6):985-92.

PMID:11987713
Abstract

Surgery of Parkinson's disease started in the middle of the last century. At the same time this treatment was introduced in Poland. Choróbski removed Broadsman's area 4 through craniotomy. In 1961 Liszka in Kraków introduced the stereotactic procedures, thalamo- and pallidotomy. This type of surgery was soon introduced in two other neurosurgical centers. For the next several years treatment was mostly pharmacological. However, stereotactic treatment was used in patients poorly tolerating drugs. In the meantime first attempts were made at implantation of fetal substantia nigra, with good results. At the end of the century in several patients electrostimulators were implanted. In the last century all known methods of surgical treatment were applied in Poland.

摘要

帕金森病手术始于上世纪中叶。与此同时,这种治疗方法也被引入波兰。乔罗布斯基通过开颅手术切除了布罗德曼4区。1961年,克拉科夫的利什卡引入了立体定向手术,即丘脑切开术和苍白球切开术。这种手术很快在另外两个神经外科中心得到应用。在接下来的几年里,治疗主要是药物治疗。然而,立体定向治疗用于对药物耐受性差的患者。与此同时,人们首次尝试植入胎儿黑质,取得了良好效果。在本世纪末,有几名患者植入了电刺激器。在上个世纪,波兰应用了所有已知的手术治疗方法。

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