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用于帕金森病的丘脑冷冻切除术。

CRYOTHALAMECTOMY FOR PARKINSON'S DISEASE.

作者信息

RAND R W, MARKHAM C H

出版信息

Calif Med. 1964 Oct;101(4):248-52.

PMID:14201235
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1515669/
Abstract

In a review of 61 patients with Parkinson's disease who were treated by cryothalamectomy, the technique of freezing a surgical target as compared with destroying it by alcohol or thermal heat was found effective and to a degree safer than other techniques. One patient died of unexpected cerebral hemorrhage. Of patients considered excellent candidates for the operation, 80 per cent had excellent and good results, while those considered good candidates showed 85 per cent excellent and good results. The results are more dependent on the selection of the patient as a candidate and the diffuseness of the pathophysiological circuits involved than on the technical factors of the cryogenic procedure.

摘要

在一项对61例接受丘脑冷冻切除术治疗的帕金森病患者的回顾中,与用酒精或热破坏手术靶点相比,冷冻手术靶点的技术被发现是有效的,并且在一定程度上比其他技术更安全。1例患者死于意外脑出血。在被认为是该手术极佳候选者的患者中,80%取得了极佳和良好的效果,而被认为是良好候选者的患者中,这一比例为85%。结果更多地取决于患者作为候选者的选择以及所涉及病理生理回路的弥散程度,而非低温手术的技术因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/482f/1515669/022fa1852181/califmed00076-0017-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/482f/1515669/fd552f617261/califmed00076-0016-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/482f/1515669/facb5d3d83f2/califmed00076-0016-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/482f/1515669/022fa1852181/califmed00076-0017-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/482f/1515669/fd552f617261/califmed00076-0016-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/482f/1515669/facb5d3d83f2/califmed00076-0016-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/482f/1515669/022fa1852181/califmed00076-0017-a.jpg

相似文献

1
CRYOTHALAMECTOMY FOR PARKINSON'S DISEASE.用于帕金森病的丘脑冷冻切除术。
Calif Med. 1964 Oct;101(4):248-52.
2
PARKINSONISM. EVALUATION AND TREATMENT OF MOVEMENT DISORDERS.帕金森症。运动障碍的评估与治疗。
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The surgical treatment of parkinson's disease: cryothalamectomy.帕金森病的外科治疗:丘脑毁损术。
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[THE "TARGET" ZONE IN THE SURGERY OF PARKINSON'S DISEASE (STUDY OF A SERIES OF 407 STEREOTAXIC OPERATIONS)].[帕金森病手术中的“靶点”区域(407例立体定向手术系列研究)]
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引用本文的文献

1
Management of parkinson's disease--combined therapy with levodopa and thalamotomy.帕金森病的治疗——左旋多巴与丘脑切开术联合治疗
West J Med. 1975 Jan;122(1):1-6.

本文引用的文献

1
A stereotaxic instrument for yttrium hypophysectomy.用于钇垂体切除术的立体定向器械。
Bull Los Angel Neuro Soc. 1959 Dec;24:224-7.
2
LOCALIZED COOLING IN THE CENTRAL NERVOUS SYSTEM. II. HISTOPATHOLOGICAL RESULTS.
Arch Neurol. 1963 Oct;9:392-9. doi: 10.1001/archneur.1963.00460100080009.
3
A cryogenic method for physiologic inhibition and production of lesions in the brain.
J Neurosurg. 1962 Oct;19:853-8. doi: 10.3171/jns.1962.19.10.0853.
4
Treatment of parkinsonism by stereotatic thermolesions in the pallidal region. A clinical evaluation of 81 cases.
苍白球区域立体定向热损伤治疗帕金森病。81例临床评估。
Acta Psychiatr Scand. 1960;35(3):358-77. doi: 10.1111/j.1600-0447.1960.tb07606.x.
5
Chemopallidectomy and chemothalamectomy.
J Neurosurg. 1958 May;15(3):244-50. doi: 10.3171/jns.1958.15.3.0244.