| 联合应用钕:钇和二氧化碳激光切除颅内脑膜瘤 |
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| 引用本文： | 张晓东,刘守勋,谢昌厚,陈美兰,党治平. 联合应用钕:钇和二氧化碳激光切除颅内脑膜瘤[J]. 中国微侵袭神经外科杂志, 1997, 0(3) |
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| 作者姓名： | 张晓东 刘守勋 谢昌厚 陈美兰 党治平 |
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| 作者单位： | 西安医科大学第一临床医学院神经外科，西安医科大学第一临床医学院神经外科，西安医科大学第一临床医学院神经外科，西安医科大学第一临床医学院激光医学研究室，西安医科大学第一临床医学院激光医学研究室 西安 710061，西安 710061，西安 710061 |
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| 摘 要： | 目的:研究临床联合应用钕:钇(Nd:YAG)激光和二氧化碳(CO_2)激光切除颅内脑膜瘤的优点。方法:应用国产Nd:YAG激光-CO_2激光切除23例颅内脑膜瘤,其中位于幕上者16例,后颅窝7例。肿瘤直径3～12cm,其中直径>8cm的巨大肿瘤8例。所用Nd:YAG激光功率10～45W,平均25W;CO_2激光功率10～60W,平均45W。结果:19例全切,全切率82.5％,无一例死亡。手术安全快捷,出血明显减少,去除肿瘤较彻底,术后反应轻,忧于常规手术切除。结论:联合应用Nd:YAG激光-CO_2激光切除颅内脑膜瘤,效果满意,是目前最佳的激光手术刀的组合。
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| 关 键 词： | 脑膜瘤 Nd:YAG激光 CO_2激光 手术 |
The resection of intracranial meningiomas by useing Nd: YAG-C0_2 laser |
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| Zhang Xiaodong,Liu Shouxun,Xie Changhou et al. The resection of intracranial meningiomas by useing Nd: YAG-C0_2 laser[J]. Chinese Journal of Minimally Invasive Neurosurgery, 1997, 0(3) |
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| Authors: | Zhang Xiaodong Liu Shouxun Xie Changhou et al |
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| Affiliation: | Zhang Xiaodong,Liu Shouxun,Xie Changhou et alDepartment of Neurosurgery,First Affiliated Hospital,Xian Medical University |
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| Abstract: | The advantages of resecting intracra-nial meningiomas by useing Nd: YAG-CO_2 laser which is made in China was reported in this paper. Method:We had resected 23 cases of meningiomas, including 16 cases in the upper part of the tentorium cerebelli and 7 cases in the posterior cranial fossa. The diameters range from 3 to 12 cm (8 cases > 8 cm). Nd: YAG-CO, laser power in use is from 10 to 45W,mean power 25W,while CO_2 laser power is from 10 to 60W, mean power 55W. Result: 19 cases (82. 6%) were completely resected. No operative mortality. With the aid of the laser system, greatly facilitated the operation and reduced intraoperative bleeding and postoperative reaction. Conclusion: The Nd:YAG-CO_2 laser system is very useful in meningioma resection. |
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| Keywords: | meningioma Nd: YAG laser CO_2 laser |
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