Fedorcsák I, Sipos L, Slowik F, Osztie E
Országos Idegsebészeti Tudományos Intézet, Budapest.
Orv Hetil. 1998 Mar 1;139(9):475-8.
Between 1989 and 1996, 523 stereotactic biopsies of different intracranial lesions were performed at our institution. In 96.3% of the cases accurate histological diagnosis was made. In 59 cases the drainage of the abscess or cyst was carried out. In 48 cases the lesion was axial, in 27 parasellar, 7 pineal and 37 infratentorial. In the rest of the cases the lesion was in the supratentorial hemispheres. Transient neurological deficits were observed in 3.4% of the cases and craniotomy with haematoma evacuation had to be carried out in one case following the biopsy. There was no mortality associated with the interventions in our material. Our experience supports that CT guided biopsy is a safe and efficient method for obtaining histological diagnosis in different intracranial lesions and showed to be very useful in planning te appropriate treatment for each patient.
1989年至1996年间，我院对523例不同颅内病变进行了立体定向活检。96.3%的病例获得了准确的组织学诊断。59例进行了脓肿或囊肿引流。48例病变位于轴位，27例位于鞍旁，7例位于松果体区，37例位于幕下。其余病例病变位于幕上半球。3.4%的病例出现短暂性神经功能缺损，1例活检后因血肿需行开颅血肿清除术。我们的资料中未出现与手术相关的死亡病例。我们的经验支持CT引导下活检是获取不同颅内病变组织学诊断的一种安全有效的方法，并且在为每位患者制定合适的治疗方案时非常有用。
