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立体定向下多靶点治疗精神发育迟滞16例报告

Multi-target treatment of mental retardation by stereotactic techniques-a study of 16 cases

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【作者】 吴勤奋柳琛张文德

【Author】 WU Qin-fen,LIU Chen,ZHANG Wen-de(Department of Neurosurgery,First Affiliated Hospital,Xinjiang Medical University,Urumqi 830011,China)

【机构】 新疆医科大学第一附属医院神经外科解放军第474医院神经外科

【摘要】 目的:探讨立体定向下多靶点毁损术治疗精神发育迟滞的临床效果。方法:在CT定位下,应用脑立体定向技术对16例精神发育迟滞患者进行颅内多靶点毁损治疗。按全国精神外科协作组织1988年制定的评定方法及韦氏智力量表(WISC)进行疗效评定。结果:16例患者术后精神测评结果显示恢复2例,显著进步9例,进步3例,无效2例,有效率为87.5%,手术对智力无影响。结论:立体定向下多靶点毁损术是治疗精神发育迟滞的有效方法,有利于提高患者生活自理和适应社会的能力。

【Abstract】 Objective:To explore the clinical effect of stereotactic radiofrequency multi-target lesion for the treatment of mental retardation.Methods:With CT localization,16 patients with mental retardation were treated by stereotactic radiofrequency multi-target lesion.Their therapeutic effects were evaluated by Wechster Intelligence Scale(WIS) and Nutional Psychosurgery Cooperation Request on Modern Psychosurgery Operation Cure(protocol) in 1988.Results:Postoperative follow-up study indicated that,two patients recovered,nine patients progressed remarkably,three patients improvement and only two patients showed no change;The efficiency rate was 87.5%.The psychosurgery had no impact on intelligence.Conclusion:The stereotactic rediofrequency multi-target lesion is an effective method to treat mental retardation.It is helpful to improve the self-care ability and social adaptability of patients.

  • 【文献出处】 新疆医科大学学报 ,Journal of Xinjiang Medical University , 编辑部邮箱 ,2008年11期
  • 【分类号】R749.94
  • 【被引频次】3
  • 【下载频次】56
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