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目的 :研究 CT结合脑立体定向仪定位切除颅内病灶的效果。 方法 :对 2 2例病变直径 <1.5～ 3.5 cm患者采用 CT结合脑立体定向仪定位 ,显微镜下切除病灶。 结果 :2 2例患者中 ,2例肺癌脑转移行肉眼全切 ,3例胶质瘤行大部切除 ,余 17例行全部切除 ,术后均无并发症。16例继发性癫中 ,13例术后停止发作。 结论 :CT结合脑立体定向仪定位切除颅内小病灶 ,定位准确 ,损伤小 ,值得提倡。
Objective: To study the effect of CT combined with stereotaxis in the resection of intracranial lesions. Methods: Twenty-two patients with lesions diameter <1.5-3.5 cm were located by CT combined with stereotaxy and the lesions were removed under the microscope. Results: Of the 2 2 patients, 2 cases of brain metastases of lung cancer were totally resected with macroscopic resection. Three cases of glioma underwent partial resection and all of the remaining 17 cases were resected. There was no postoperative complications. Thirteen of 16 patients with secondary epilepsy stopped seizures. Conclusion: CT combined with stereotactic orientation resection of intracranial small lesions, accurate positioning, less damage, it is worth promoting.