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目的探讨立体定向技术在基底节区肿瘤手术中的应用。方法对本院2007年7月~2015年7月收治的49例基底节区肿瘤采用手术治疗的患者进行分组分析,观察组13例为采用立体定向引导下肿瘤切除,对照组36例采用传统开颅肿瘤切除。两组分别在肿瘤定位、重要功能保护、术后并发症等方面进行对比分析。结果观察组肿瘤定位迅速、准确,重要功能保护完整,无术后并发症出现。对照组定位不准造成更改入路4例,重要功能出现障碍或较术前加重30例次,术后并发症明显增加。结论采用立体定向技术引导下行基底节区肿瘤切除术,对肿瘤定位极为精确,能够在避开重要功能区的前提下完整切除肿瘤,避免造成不必要的功能障碍,且手术操作时间大大缩短,术后并发症极少出现。
Objective To investigate the application of stereotactic technique in basal ganglia tumor surgery. Methods Forty-nine patients with basal ganglia tumors treated in our hospital from July 2007 to July 2015 were divided into groups. The observation group was treated with stereotactic guidance, and the control group (36 cases) Tumor resection. Two groups were compared in the aspects of tumor location, important function protection and postoperative complications. Results The observation group had rapid and accurate tumor location, complete protection of important functions and no postoperative complications. The control group was not allowed to change the location of the road in 4 cases, significant dysfunction or increased 30 cases compared with preoperative, postoperative complications increased significantly. Conclusion The stereotactic technique is used to guide the tumor resection in the basal ganglia region. The tumor location is extremely accurate and the tumor can be completely excised while avoiding the important functional areas, avoiding unnecessary dysfunction and shortening the operation time. Postoperative complications rarely appear.