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[功能性立体定向神经外科中的冷冻手术方法]

[Cryosurgical method in functional stereotactic neurosurgery].

作者信息

Kholiavin A I, Anichkov A D, Nizkovolos V B, Obliapin A V

出版信息

Vestn Khir Im I I Grek. 2010;169(5):94-9.

Abstract

Method of cryodestruction of deep subcortical structures is used in functional stereotactic operations in patients with chronic progressing diseases of the central nervous system. The PAH device produces cooling the tissues in the target point of the brain to -70 degrees C, which allows to obtain the destruction focus with volume 0.2 or 1 cm3. The source of cooling in the apparatus is solid cryodestruction carbonic acid. The method was used in 352 patients. The results of operations showed high degree of repeatability of geometric parameters of the obtained foci in the target structures, as well as the absence of the general and pronounced local tissue reaction to the cryodestruction foci. There was low percentage of hemorrhagic and infectious complications.

摘要

在患有中枢神经系统慢性进行性疾病的患者的功能性立体定向手术中,采用了深部皮质下结构冷冻毁损术。PAH装置可将脑组织靶点处的组织冷却至-70摄氏度,从而获得体积为0.2或1立方厘米的毁损灶。该装置的冷却源是固态冷冻碳酸。此方法应用于352例患者。手术结果显示,所获得的靶点结构病灶的几何参数具有高度重复性,且对冷冻毁损灶没有明显的全身和局部组织反应。出血性和感染性并发症的发生率较低。

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