Stereotactic Biopsy of Brain Lesions_West China Medical Journal

Authors：

CAI Xiaodong , GAO Yongzhong , LI Weiping , et al

The Second People’s Hospital of Shenzhen City, Shenzhen Guangdong 518035, China;

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Keywords：

立体定向; 脑; 活检术

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目的:探讨立体定向脑病变活检术的手术技巧及影响因素。方法:总结20例立体定向活检病例,其中多发病灶者4例,单发病灶者16例。使用CT、MRI扫描、立体定向仪及手术计划系统精确定位靶点、制定合适的活检轨迹。使用Backlund和Sedan活检针取材,脑浅表病灶使用立体定向环钻开颅全切。术中冰冻活检,术后石蜡包埋病理检查和免疫组化检查。结果:19例获明确的病理诊断,活检阳性率95%。其中,9例脑胶质瘤,3例海绵状血管瘤、2例脑转移瘤,3例非特异性炎性肉芽肿,1例结核性肉芽肿,1例脑弓形虫病。结论:立体定向脑病变活检术是神经外科十分重要的安全的诊治手段。

Citation： CAI Xiaodong,GAO Yongzhong,LI Weiping,et al. Stereotactic Biopsy of Brain Lesions. West China Medical Journal, 2009, 24(7): 1816-1818. doi: Copy

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West China Medical Journal

Stereotactic Biopsy of Brain Lesions

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