摘要
报告采用立体定向丘脑腹外侧核破坏术治疗159例(手术185次)震颤麻痹患者,其有效率93.5％。经随访近2年来手术者88％无复发,3年～6年前手术者74.2％无复发,7年～9年前手术者仍有42.9％病例的效果保持稳定。29例次(15.7％)术后并发面瘫,对侧肢体肌力减弱、偏瘫和(或)语言障碍,2例次(1.08％)发生颅内血肿,1例出现癫痫发作,1例并发心肌梗塞。死亡者2例(1.08％),分别死于颅内血肿与心肌梗塞。对有关本病的定向手术治疗,以及提高手术疗效与减少手术并发症问题作了讨论。
Xian.Ventrolateral thalamotomy was performed on 159 patients (185 operations) with paralysis agitans.The effective rate was 93.5%.The follew-up period was 2 yrs in 88%, 3-6yrs in 74.2%,and 7—9yrs in 42.9% of the patients.The state of illness of these pts. were stable and no recurrence.The side-effects and complications were:transient hemifacial weakness,contralateral incomplete paralysis,hemiplegia and or aphasia (15.7%), intracranial hematoma (1.08%),epilepsy (1 case), and myocardial infarction (1 case).Two cases (1.08%) died of intracranial hematoma and myocardial infarction respectively. The indications, therapeutic effect and prophylaxis of complications of stereotactic surgical treatment of this kind of disease are discussed in this paper.
出处
《中华神经外科杂志》
CSCD
北大核心
1989年第2期111-113,共3页
Chinese Journal of Neurosurgery
