摘要
目的:研究临床联合应用钕:钇(Nd:YAG)激光和二氧化碳(CO_2)激光切除颅内脑膜瘤的优点。方法:应用国产Nd:YAG激光-CO_2激光切除23例颅内脑膜瘤,其中位于幕上者16例,后颅窝7例。肿瘤直径3～12cm,其中直径>8cm的巨大肿瘤8例。所用Nd:YAG激光功率10～45W,平均25W;CO_2激光功率10～60W,平均45W。结果:19例全切,全切率82.5％,无一例死亡。手术安全快捷,出血明显减少,去除肿瘤较彻底,术后反应轻,忧于常规手术切除。结论:联合应用Nd:YAG激光-CO_2激光切除颅内脑膜瘤,效果满意,是目前最佳的激光手术刀的组合。
The advantages of resecting intracra-nial meningiomas by useing Nd: YAG-CO_2 laser which is made in China was reported in this paper. Method:We had resected 23 cases of meningiomas, including 16 cases in the upper part of the tentorium cerebelli and 7 cases in the posterior cranial fossa. The diameters range from 3 to 12 cm (8 cases > 8 cm). Nd: YAG-CO, laser power in use is from 10 to 45W,mean power 25W,while CO_2 laser power is from 10 to 60W, mean power 55W. Result: 19 cases (82. 6%) were completely resected. No operative mortality. With the aid of the laser system, greatly facilitated the operation and reduced intraoperative bleeding and postoperative reaction. Conclusion: The Nd:YAG-CO_2 laser system is very useful in meningioma resection.
