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介绍新型SLT接触式Nd:YAG激光在颅内脑膜瘤手术中的应用效果,根据肿瘤的质地和部位不同及激光探头类型特点,手术时先用尖探头(功率12~15W)分离瘤周和基底附着点,后摘取肿瘤。大肿瘤先作瘤内汽化吸除部分或尖探头分块切除瘤内,体积缩小后分离瘤周,反复交替进行。肿瘤汽化功率在40~80W范围。平探头作凝固和止血用,毛化探头用作处理血供丰富之肿瘤。结果:全组经治21例病人中,18例全切除,3例次全切除;术后17例无并发症,2例短时期偏瘫,1例失语,后恢复,平均每例病人减少术中出血400~800ml。认为SLT接触式激光手术精细,热效应和术后脑水肿反应轻,适合处理脑功能区肿瘤,有其独特优越性
The application effect of the new SLT contact Nd: YAG laser in the intracranial meningioma surgery is introduced. According to the different tumor's texture and location and the characteristics of the laser probe, the first use of a sharp probe (power 12 ~ 15W) Attachment point, after removal of the tumor. Large tumor for the first part of the tumor or vaporization of the tip of the subcutaneous removal of the tumor, the volume reduced after the separation of tumor week, alternating alternately. Tumor vaporization power in the 40 ~ 80W range. Flat probe for coagulation and hemostasis, hair probe for the treatment of blood-rich tumors. Results: Of the 21 patients who underwent radical resection, 18 cases were totally resected and 3 cases were subtotally resected. There were 17 cases without complications, 2 cases with short-term hemiplegia, 1 case of aphasia, Bleeding 400 ~ 800ml. SLT contact laser surgery that fine, thermal effects and postoperative brain edema reaction light, suitable for treatment of brain tumor, has its unique advantages