[1]姜秀峰　 周晓平　 胡小吾　 王来兴　 徐波涛　 刘建民　 王文仲.帕金森病立体定向手术颅内出血并发症的原因分析[J].中国微创外科杂志,2003,03(5):427-428.
　Jiang Xiufeng,Zhou Xiaoping,HuXiaowu,et al.Hemorrhagic complications after sterotactic surgery for Parkinson's disease: An etiologic analysis[J].Chinese Journal of Minimally Invasive Surgery,2003,03(5):427-428.
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帕金森病立体定向手术颅内出血并发症的原因分析()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
03
期数:
2003年5期
页码:
427-428
栏目:
短篇论著
出版日期:
2003-05-31

文章信息/Info

Title:
Hemorrhagic complications after sterotactic surgery for Parkinson's disease: An etiologic analysis
作者:
姜秀峰　 周晓平　 胡小吾　 王来兴　 徐波涛　 刘建民　 王文仲
第二军医大学长海医院神经外科,上海,200433
Author(s):
Jiang Xiufeng; Zhou Xiaoping;  HuXiaowu; et al.
Department ofNeurosurgery,ChanghaiHospital ofSecondMilitaryMedical University,Shanghai200433,China
关键词:
帕金森病; 立体定向; 出血; 并发症
Keywords:
Parkinson’s disease; 　Sterotactic; 　Hemorrhage; 　Complication
分类号:
R742.5
文献标志码:
A
摘要:
目的探讨帕金森病立体定向手术颅内出血并发症的原因及对策. 方法 1999年4月～2001年12月我们对药物治疗效果不理想的350例帕金森病行立体定向毁损手术,术后6例出现颅内出血,其中毁损灶出血3例,穿刺道出血3例. 结果手术治疗4例,保守治疗2例.术后意识恢复但遗留偏瘫4例;非手术治疗2例,恢复良好,未遗留明显功能障碍.全组无死亡病例. 结论颅内出血并发症与微电极反复穿刺、毁损温度过高、手术操作精细度、患者全身情况等因素有关.采用磁共振结合微电极导向提高靶点定位精确度,减少微电极记录针道数,降低毁损温度,重视手术操作,注意患者全身情况,加强围手术期处理等措施,有助于降低颅内出血并发症的危险.
Abstract:
Objective　To discuss the causes and the management of hemorrhagic complications after sterotactic surgery for Parkinson’ s disease (PD).　Methods　Atotal of 350 PD patients unresponsive to drug therapy fromApril 1999 to December 2001 underwent sterotactic surgery. Intracranial hemorrhage occurred in 6 cases, consisting of 3 cases of lesion hemorrhage and 3 cases of puncture path hemorrhage.　 Results　Of the 6 cases, 4 were treated by surgical operations, with recovery of consciousness but hemiplegia left, and 2 were treated conser- vatively without dysfunction left. No fatal cases were seen in the study.　Conclusions　Hemorrhagic complications are often in association with repeated puncture, excessive heat, operative skills, patient’s general condition and so on. Accurate target location byMRI combinedwith microelectrode guidance, reduce of microelectrode recording times, lowering of the lesion temperature, and sufficient perioperative care cont- ribute to the prevention of intracranial hemorrhagic complications.

参考文献/References:

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更新日期/Last Update: 2014-07-02