Mathiesen T, Lindquist C, Kihlstrom L
Department of Neurosurgery, Karolinska Institute, Stockholm, Sweden.
Br J Neurosurg. 1996 Apr;10(2):155-60. doi: 10.1080/02688699650040304.
The Steiner-Lindquist microsurgical stereotaxic guide was used for operations for intra-axial lesions in 15 patients. The lesions were identified by stereotaxic CT or MRI and stereotactic co-ordinates were then calculated and set for the guiding laser beam. The beam was used for planning the craniotomy and its path followed during the microsurgical dissection, until the lesion was reached. Seven lesions were situated in eloquent areas of the brain and could not have been safely attacked without the aid of stereotaxic localization. Five of these and two other lesions were quite small, and would have been difficult to find without jeopardizing normal brain structures. For the remaining lesions the stereotaxic laser guide was facilitatory, but not indispensible. Radical removal was achieved in 11 of the 15 lesions. The Steiner-Lindquist microsurgical guide incorporates the freedom of standard microsurgical techniques with the safety of operating in a stereotaxically defined space.
采用Steiner-Lindquist显微手术立体定向导向装置对15例轴内病变患者进行手术。通过立体定向CT或MRI确定病变，然后计算并设定立体定向坐标，用于引导激光束。该激光束用于规划开颅手术，并在显微手术解剖过程中跟踪其路径，直至到达病变部位。7个病变位于脑功能区，若无立体定向定位辅助，无法安全地进行手术。其中5个病变及另外2个病变非常小，若不危及正常脑结构则很难找到。对于其余病变，立体定向激光导向装置起到了辅助作用，但并非不可或缺。15个病变中有11个实现了根治性切除。Steiner-Lindquist显微手术导向装置将标准显微手术技术的灵活性与在立体定向限定空间内操作的安全性相结合。
