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[颅内占位性病变的立体定向手术:诊断与治疗]

[Stereotactic surgery for intracranial mass lesions: diagnosis and treatment].

作者信息

Meneses M S, Russ H H, Coelho Neto M, Ramina R, Hunhevicz S, Pedrozo A, Tsubouchi M H

机构信息

Serviço de Neurocirurgia do Hospital das Nações, Curitiba, Brasil.

出版信息

Arq Neuropsiquiatr. 1996 Mar;54(1):64-70. doi: 10.1590/s0004-282x1996000100011.

Abstract

The authors present a study about 50 stereotactic procedures for intracranial lesions. In 12 cases stereotaxis was used as a treatment: stereotactic surgical resection (5 patients) and aspiration of lesions (7 patients). This study confirms the great accuracy and low morbidity of the stereotactic techniques. Computed tomography and magnetic resonance imaging determinate the precise stereotactic coordinates, but in some cases it is necessary to perform stereo-angiography. The stereotactic surgical resection of brain tumors allows the treatment of deep lesions or located at functional areas and considered to be inoperable before. The related literature is discussed.

摘要

作者介绍了一项关于50例颅内病变立体定向手术的研究。其中12例将立体定向技术用作治疗手段:立体定向手术切除(5例患者)和病变抽吸(7例患者)。该研究证实了立体定向技术具有高度准确性和低发病率。计算机断层扫描和磁共振成像可确定精确的立体定向坐标,但在某些情况下需要进行立体血管造影。脑肿瘤的立体定向手术切除能够治疗深部病变或位于功能区且以往被认为无法手术的病变。文中还讨论了相关文献。

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