Zamorano L, Ausman J I, Chorni D, Dujovny M
Department of Neurosurgery, Wayne State University, Detroit, Mich.
Stereotact Funct Neurosurg. 1992;59(1-4):142-50. doi: 10.1159/000098932.
Eighty-seven patients, aged 10 months to 92 years, with midline brain lesions were treated using stereotactic techniques at our institution between January 1987 and June 1990. A total of 119 stereotactic procedures were performed with no operative mortality. Procedures included 53 biopsies only, 22 endoscopic laser decompressions, 8 stereotactic microsurgical resections, 9 permanent implants of 125I, 12 temporary implants of 125I, 11 cyst aspirations, 2 cystoperitoneal shunts and 2 intracavitary 32P. The morbidity rate was 4.21%. Local anesthesia was used in 106 of the procedures (89%). Accurate diagnosis was achieved in all cases. Image guidance and stereotactic techniques open new frontiers in the diagnostic and therapeutic management of deep-seated midline intraparenchymal lesions.
1987年1月至1990年6月期间，我院采用立体定向技术对87例年龄在10个月至92岁之间的中线脑病变患者进行了治疗。共进行了119例立体定向手术，无手术死亡病例。手术包括仅53例活检、22例内镜激光减压、8例立体定向显微手术切除、9例永久性植入125I、12例临时性植入125I、11例囊肿抽吸、2例囊肿-腹腔分流术和2例腔内注入32P。发病率为4.21%。106例手术（89%）采用了局部麻醉。所有病例均获得了准确诊断。图像引导和立体定向技术为深部中线脑实质内病变的诊断和治疗管理开辟了新的领域。
