Leksell三维手术计划系统联合3.0T MRI辅助丘脑底核脑
深部电刺激手术
杨岸超;马羽;刘焕光;陈宁;张凯;孟凡刚;葛明;张建国
【期刊名称】《中国微侵袭神经外科杂志》 【年(卷),期】2011(016)002
【摘要】Objective To investigate the application value of and clinical experiences in target positioning in subthalamic nucleus-deep brain stimulation (STN-DBS) by the aid of Leksell SurgiPlan System combined with 3.0T MRI.Methods The clinical data of 121 patients with movement disorders
who
underwent
STN-DBS
were
analyzed
retrospectively.Leksell SurgiPlan System combined with 3.0T MRI was used to target the location of STN.Microelectrode recording (MER) and electric stimulation were performed in the operation, and the symptom improvement and side reaction were observed in order to estimate the accuracy of target positioning.Results Two hundred and seventeen STN stimulating electrodes were implanted including 111 electrodes in the left side and 106 in the right side.One hundred and fifty STN stimulating electrodes (69.1％) were implanted with one-time localization success.Two hundred and ninety-six MER needle passages were used in sum and average 1.36 needle passages were needed to implant one electrode.The rate of needle passage change was 26.7％.Frontal hematoma occurred in one patient who recovered after electrode
removal by surgery.Sixty-seven patients (125 sides) were reexamined with head MRI including position satisfaction in 64 patients (122 sides) and position change in 3 who received surgery again and improved.Conclusions The combination of Leksell SurgiPlan System and 3.0T MRI for target localization of STN has a high coincidence rate with MER and a high accuracy, can increase the quality of operation and decrease the rate of needle passage change and surgical risk.%目的 探讨Leksell 三维手术计划系统(Leksell SurgiPlan System)联合3.0T MRI辅助丘脑底核脑深部电刺激(STN-DBS)进行靶点定位的应用价值和临床经验.方法 回顾性分析121例采用STN-DBS治疗的运动障碍疾病病人的临床资料.应用3.0TMRI和Leksell手术计划系统进行STN靶点定位,术中采用微电极记录(MER)和电刺激,观察病人症状改善及副反应发生情况以判断靶点定位的准确性.结果 共植入217根电极(左侧111根,右侧106根),其中150根(69.1%)一次成功性定位准确.共用MER针道296道,每植入1根电极平均需要1.36针道,针道更换率为26.7%.术后出现额叶血肿1例,二次手术拔除电极后恢复.67例(125侧)病人复查头部MRI,电极位置满意者64例(122侧),电极位置改变3例,二次手术后症状改善.结论 Lekseli手术计划系统加3.0T MRI进行STN靶点定位,与MER符合率高,准确性强,能够提高手术质量,减少针道更换率,降低手术风险. 【总页数】4页(56-59)
【关键词】运动障碍;Leksell手术计划系统;磁共振成像;脑深部电刺激;丘脑底核 【作者】杨岸超;马羽;刘焕光;陈宁;张凯;孟凡刚;葛明;张建国
【作者单位】100050,首都医科大学附属北京天坛医院神经外科;北京市神经外
科研究所;100050,首都医科大学附属北京天坛医院神经外科;100050,首都医科大学附属北京天坛医院神经外科;100050,首都医科大学附属北京天坛医院神经外科;北京市神经外科研究所;100050,首都医科大学附属北京天坛医院神经外科;100050,首都医科大学附属北京天坛医院神经外科 【正文语种】中文 【中图分类】R651.1 【文献来源】
https://www.zhangqiaokeyan.com/academic-journal-cn_chinese-journal-minimally-invasive-neurosurgery_thesis/0201234330998.html 【相关文献】
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Leksell三维手术计划系统联合3.0T MRI辅助丘脑底核脑深部电刺激手术
