【摘要】 目的 :探讨在影像辅助下利用立体定向和导航系统进行手术小切口切除颅内病灶的可行性。方法 :47例患者术前行CT或MR扫描 ,分别利用神经导航系统及立体定向仪定出手术切口、骨窗大小 ,指示手术入路。结果 :47例患者中2 6例采用神经导航手术 ,骨窗平均 3.6cm× 4.1cm大小 ;2 1例采用立体定向环钻开颅术 ,骨窗直径 1.8～ 4.0cm ,所有病变均全切除。结论 :在影像辅助下采用神经导航系统及立体定向进行手术 ,有利于减小手术切口和骨窗大小、减少损伤和并发症。更多还原

【Abstract】 Objective:To evaluate the clinical usage of small incision in removing brain lesions.Methods:CT or MR images were obtained before operation.The location and size of the incis;on were decided by the navigation and the stereotaxic instrument.All the operation process was done under the direction of navigation and the stereotaxic system.Results:All the cases took total excision and survived after operation.Conclusion:The images aided stereotaxic and navigation system guided operation have great precision.It can help neurosurgeon to reduce the size of incision and the flap as well as enhance operation quality.更多还原