The clinical study of stereotactic microsurgery.
The objective of this study is to investigate the operative methods and therapeutic effects of stereotactic-guided microsurgical resection of hypertensive cerebral hemorrhage lesions in functional region. 18 cases of intracranial lesions (diameter 1.5-3 cm) were studied using a Leksell-G stereotactic system. Guided by the CT or MR, a small incision was made and the skull was opened with an annular drill. Electrophysiological stimulation was applied along the non-functional areas. 100 patients with cerebral hemorrhage were randomized into two groups of 50 cases each. One of the groups was treated using microsurgery, while the other group was treated using stereotactic technique. A comparative study was carried out between the two treatment methods for hypertensive intracerebral hemorrhage using the recent (1 month) and long-term (6 months) treatment. Using a Leksell-G system for precise positioning of microsurgery, 100 % of the lesion was fully removed. Neurological function was well protected without mortality or neurological deficiency. The use of stereotactic microsurgery for hypertensive intracerebral hemorrhage is successful compared with traditional methods. There is a significant clinical effect on the recovery of neurological function in patients. Stereotactic microsurgical resection of the lesion along with Ribbon treatment of hypertensive cerebral hemorrhage is an accurate, minimally invasive, safe, and effective surgical method.
Department of Neurosurgery, Shanghai Putuo District Central Hospital, Shanghai, 200062, China.
Kan
K
Xu
Jian
J
Hai
D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D000368:Aged; D002543:Cerebral Hemorrhage / Q000209:etiology / Q000523:psychology / Q000601:surgery*; D002648:Child; D004558:Electric Stimulation; D005260:Female; D023261:Glasgow Outcome Scale; D006801:Humans; D006973:Hypertension / Q000150:complications; D008279:Magnetic Resonance Imaging; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D011788:Quality of Life; D013238:Stereotaxic Techniques; D014057:Tomography, X-Ray Computed; D055815:Young Adult