摘要
报告对１３１例脑深部病变进行活检和治疗。病变位于丘脑和基底节３６例，大脑半球７５例，鞍区６例，小脑半球４例，桥小脑角１例，侧脑室内２例，Ⅲ脑室前部２例，松果体区５例。活检病理诊断准确率为９６．９％，活检部位出血并发颅内血肿的发生率和死亡率为０．７６％，同时讨论了立体定向手术入路，如何提高活检阳性率、后装治疗管放置及并发症的预防等问题。
With the application of modern imaging techniques, stereotactic biopsy and treatment were carried out in 131 cases bearing deep intracranial lesions The lesions were located in different positions, including the thalumus and basL ganglion (36 cases) , cerebral hemisphere (75 cases), sella area (6 cases) , cerbellum (4 cases), the cerebellopontine angle (1 case) , inside the lateral ventricle (2 cases) , font part of the third ventrical (2 cases) and the pineal area (5 cases). The rate of confirmed histological diagnoses was 96.6% . Hemorrhage of the biopsy sites and intracranial hemotomas were the major complication (0. 76%) . Items were discussed, including the selection of surgical approach with the application of modern imaging techniques.The of improving the diagnnostic rate of biopsy, accurately seeding of the after_loading catheters for interstitial brachytherapy of tumors and the prevention of complications.
关键词
立体定向
活检
脑肿瘤
治疗
Stereotaxy, Biopsy, Brain neoplasms,Treatment
