目的:探討立體定向腦病變活檢術的手術技巧及影響因素。方法:總結20例立體定向活檢病例,其中多發病灶者4例,單發病灶者16例。使用CT、MRI掃描、立體定向儀及手術計劃系統精確定位靶點、制定合適的活檢軌跡。使用Backlund和Sedan活檢針取材,腦淺表病灶使用立體定向環鉆開顱全切。術中冰凍活檢,術后石蠟包埋病理檢查和免疫組化檢查。結果:19例獲明確的病理診斷,活檢陽性率95%。其中,9例腦膠質瘤,3例海綿狀血管瘤、2例腦轉移瘤,3例非特異性炎性肉芽腫,1例結核性肉芽腫,1例腦弓形蟲病。結論:立體定向腦病變活檢術是神經外科十分重要的安全的診治手段。
Citation：
CAI Xiaodong,GAO Yongzhong,LI Weiping,et al. Stereotactic Biopsy of Brain Lesions. West China Medical Journal, 2009, 24(7): 1816-1818. doi:
Copy
Copyright ? the editorial department of West China Medical Journal of West China Medical Publisher. All rights reserved
| 1. |
LEE T, KENNY BG, HITCHCOCK ER, et al. Supratentorial Masses: Stereoatactic or freehand biopsy[J]. Br J Neurosurg,1991,5:331-338..
|
| 2. |
ChANDRASOMA P T, SMITH M M, APAZZO M L J. Stereotactic biopsy in the diagnosis of brain. Masses: comparison of results of biopsy and resected Surgical specimen[J].Neurosurgery,1989,24:160-165..
|
| 3. |
SAM P, JAVEDAN B A, TAMARGO R J. Diagnosis yield of brain biopsy in neurodegenerative disorders[J]. Newrosurgery.1997,41: 823-830..
|
| 4. |
傅光明,牛朝詩.立體定向和功能神經外科學[M].第1版.合肥:安徽科學技術出版社,2004:693..
|
- 1. LEE T, KENNY BG, HITCHCOCK ER, et al. Supratentorial Masses: Stereoatactic or freehand biopsy[J]. Br J Neurosurg,1991,5:331-338..
- 2. ChANDRASOMA P T, SMITH M M, APAZZO M L J. Stereotactic biopsy in the diagnosis of brain. Masses: comparison of results of biopsy and resected Surgical specimen[J].Neurosurgery,1989,24:160-165..
- 3. SAM P, JAVEDAN B A, TAMARGO R J. Diagnosis yield of brain biopsy in neurodegenerative disorders[J]. Newrosurgery.1997,41: 823-830..
- 4. 傅光明,牛朝詩.立體定向和功能神經外科學[M].第1版.合肥:安徽科學技術出版社,2004:693..
