Kopera M, Majchrzak H, Idzik M
Oddziału Neurochirurgii Szpitala Górniczego, Sosnowcu.
Neurol Neurochir Pol. 1992;Suppl 1:237-42.
The Nd:YAG laser was used between January 1989 and March 1991 in 63 cases of intracranial tumours, including 32 meningiomas, 16 gliomas (including 11 glioblastomas), 8 acoustic neurinomas, 11 metastatic brain tumours. In 76.2% of cases very good results were obtained. The Nd:YAG laser was found to be particular value in the treatment of vascular intracranial tumours, especially meningiomas and metastatic tumours. The ability of the Nd:YAG laser to shrink and devascularize these tumours, was useful in neurosurgical operations. The no-touch technique, minimal or no thermal effect on surrounding tissues, better haemostasis and precision allow for easier removal of acoustic nerve tumours. The Nd:YAG laser is very useful in the operations close to the very important for life areas of the brain. The major advantages of laser include reduction of mechanical trauma, reduction of blood loss, and more radical removal of intracranial tumours.
1989年1月至1991年3月期间，对63例颅内肿瘤患者使用了钕钇铝石榴石激光，其中包括32例脑膜瘤、16例胶质瘤（包括11例胶质母细胞瘤）、8例听神经瘤、11例脑转移瘤。76.2%的病例取得了非常好的效果。发现钕钇铝石榴石激光在治疗颅内血管性肿瘤，特别是脑膜瘤和转移瘤方面具有特殊价值。钕钇铝石榴石激光使这些肿瘤缩小并减少血供的能力，在神经外科手术中很有用。非接触技术、对周围组织的热效应极小或无热效应、更好的止血效果和精确性，使得听神经瘤更容易切除。钕钇铝石榴石激光在靠近对生命至关重要的脑区的手术中非常有用。激光的主要优点包括减少机械创伤、减少失血以及更彻底地切除颅内肿瘤。
