CT导向立体定向手术在脑内小病灶的应用

目的:探讨应用立体定向结合显微镜手术切除脑内小病灶的方法及疗效。方法:应用CT导向立体定向结合显微镜对15例直径在0.8～3.5cm脑内小病灶行手术切除。结果:手术均获成功,无手术并发症及死亡,继发性癫痫7例术后完全停止发作,1例发作次数明显减少。结论:立体定向结合显微镜手术切除脑内小病灶具有定位准确、微创安全有效、疗效满意等优点。

Application of CT-guided stereotactic surgery in the intracerebral minor lesions

Objective To explore the operative method and effect of intracerebral minor lesions with combined stereotactic with microscope. Method Intracerebral minor lesions in diameters between 0.8cm and 3.5cm were confirmed and localized in 15 patients by combined stereotactic surgery with microscope. Results The operations were all successful, without operative death and complication. Of the 8 patients with secondary epilepsy, 7 patients were seizure-free and one patient was significantly decreased seizure frequency.Conclusion Combined stereotactic operation with microscope for intracerebral minor lesions has the advantages of precise location, microtraumatic,quick recovery and on the safe side.