临床神经外科杂志2019，Vol.16Issue(3)：203-207,5.DOI:10.3969/j.issn.1672-7770.2019.03.005
立体定向框架下帕金森病脑深部电刺激手术标准化流程的思考与改进
Analysis and optimization of standardized procedure for deep brain stimulation in Parkinson’s disease using stereotactic framework
摘要
Abstract
Objective To explore the details of the process of deep brain stimulation ( DBS) and its improvement measures using the stereotactic framework.Methods The clinical data of 236 patients with advanced Parkinson’s disease( PD) admitted in the Brain Hospital Affiliated to Nanjing Medical University from January 2016 to December 2018, were analyzed retrospectively.Two of them were unilateral DBS , the others were bilateral , totaling 470 sides.The improved procedure was adopted during the operation , and the details of the operation were paid attention to.After the operation, the image review was compared with the operation plan , and the error between the actual electrode position and the plan was analyzed.Results The optimum electric shock position differed from the planned position by an average of (0.74 ±0.19) mm.There was 1 case of intracranial hemorrhage after operation.Severe intracranial gas accumulation in 3 cases(30 mL).Conclusion DBS surgery requires a high degree of refinement , with sufficient attention and meticulous manipulation in every step and detail to maximize electrode placement accuracy.关键词
脑深部电刺激/帕金森病/手术技术Key words
deep brain stimulation/Parkinson’s disease/surgical technique分类
医药卫生引用本文复制引用
QIU Chang,DONG Wen-wen,ZHANG Wen-bin...立体定向框架下帕金森病脑深部电刺激手术标准化流程的思考与改进[J].临床神经外科杂志,2019,16(3):203-207,5.基金项目
国家重点研发计划(2016YFC0105900) （2016YFC0105900）
江苏省重点病种规范化诊疗项目( BE2016614) （ BE2016614）
江苏省卫生计生委医学科研课题( H201647) （ H201647）
