脑肿瘤立体定向微创手术治疗

目的评价CT-立体定向技术在脑肿瘤微创手术治疗中的应用。方法应用CT-脑立体定向仪(安科公司生产)完成42例次脑肿瘤立体定向手术,分析其临床诊疗效果。其中男24例、女17例,年龄11～72岁,平均年龄46.4岁。结果本组立体定向活检术16例,术后病理诊断明确;定向开放手术20例,病灶一次切除;立体定向穿刺分流术6例,术后症状改善明显。手术均一次操作成功,无手术并发症。结论CT-立体定向手术能精确定位,使用方便、易于推广和创伤小、费用低等优点,即便在有导航手术的今天,仍不失为一项有效的实用技术。

Clinical application of minimal invasive microneurosurgical excision of brain tumor under stereotactic guided

Objective To evaluate the role of minimal invasive microneurosurgical excision of brain tumor under stereotactic guided.Methods 36 CT-stereotactic microneurosurgical operations have been performed on 41 patients with brain tumors in order to evaluate the clinical effects of its diagnosis and treatment.Results Out of them were 16 patients with stereotactic biopsy, who had positive pathologic diagnosis without complications. Out of them were 20 patients with open stereotactic intracranial operation, whose tumor were complete removed. No complications occurred. Out of them were 6 patients with stereotactic puncture bypath operation, whose conditions improved significantly, after the only one operation. Conclusion Stereotactic guided microneurosurgery can locate brain lesions precisely , it is a simple ,effective, and economical technique with minimal invasion for deep and small intracranial tumor and vesicular lesions.