摘要
目的 :探讨苍白球腹后部毁损术 (PVP)治疗帕金森病 (PD)的手术方法及疗效。方法 :采用坐标定位结合MRI图象定位 ,在微电极导向下 ,完成对 6例病人单侧苍白球腹后部 (Gpi)的定位 ,并实施毁损。结果 :6例患者的震颤、僵硬及运动迟缓均得到明显改善 ,UPDRS运动部分积分下降 ,无永久并发症。结论 :坐标结合 MRI图象法能准确定位 Gpi,微电极记录是其必要的补充 ,PVP能全面改善 PD患者的症状 ,是一种安全有效的方法。
Objective: To probe the effects and methods of microelectrod stereotatic guided PVP. Methods: With the help of microelectrod stereotatic guided, combined the coordinates and MRI films, 6 pateients of PD was perfomed ipsilateral PVP. Results: Tremor, rigidity and bradykinesia of all patients are improved significantly. Postoperatiion UPDRW score are decreased. No permanent operatve complications.Conclusion: The initial target can be determined by combination the coordinates and MRI films. Microelectrod recording provides important targeting information, The PVP is a safe and effective operation for PD
出处
《脑与神经疾病杂志》
2001年第1期15-16,共2页
Journal of Brain and Nervous Diseases