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神经外科的现状与展望

Actualities and perspectives in neurosurgery.

作者信息

Ciure A V, Lencean St M, Brehar F M

机构信息

First Neurosurgical Clinic, Emergency Clinic Hospital Bagdasar-Arseni, Bucharest, Romania.

出版信息

J Med Life. 2008 Jan-Mar;1(1):23-9.

Abstract

In the field of neurosurgery, like in other surgical specialties, the last decades have brought major achievements. The series of revolutionary discoveries has started during the last century in the fifties, with stereotactic radiosurgery, then continued with the implementation of operative microscope (during the seventies), the endovascular embolisation in the nineties and finally with the major improvement in robotic neurosurgery and molecular neurosurgery at the beginning of this century. The major innovation has been brought not only in the field of therapeutical measures but also in the field of neuro-imaging. Thus, the modern MRI with more than 3 Tesla, can reveal to the neurosurgeon the most intimate structures of the nervous system. Several important areas in neurosurgery like: vascular neurosurgery, functional neurosurgery and brain tumors pathology, benefit from the modern technology and from the latest discoveries from genetic and molecular biology. In conclusion, summarizing the discoveries of the last decade, we emphasize that the related areas like genetics, molecular biology, computer technology become more and more important in the future progress of the neurosurgery.

摘要

在神经外科领域,与其他外科专科一样,过去几十年取得了重大成就。一系列革命性的发现始于上世纪五十年代的立体定向放射外科,随后在七十年代引入手术显微镜,九十年代实现血管内栓塞,最终在本世纪初机器人神经外科和分子神经外科取得重大进展。重大创新不仅体现在治疗措施领域,也体现在神经影像学领域。因此,超过3特斯拉的现代磁共振成像(MRI)能够向神经外科医生揭示神经系统最细微的结构。神经外科的几个重要领域,如血管神经外科、功能神经外科和脑肿瘤病理学,都受益于现代技术以及遗传和分子生物学的最新发现。总之,总结过去十年的发现,我们强调遗传学、分子生物学、计算机技术等相关领域在神经外科未来的发展中将变得越来越重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2360/3018961/3c54d5f9673d/JMedLife-01-23-g001.jpg

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