Parkinson hastalığının tedavisi için STN-DBS'den sonra hedef doğruluk ve beyin kanaması oranındaki değişiklikler

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Aşağıdaki metin kaynak makalenin lisansı doğrulanmış orijinal özetidir. cc by

Purpose: To prevent the steps of the deep brain stimulation (DBS) operation from affecting the accuracy of target due to cerebral hemorrhage, cerebrospinal fluid loss and brain tissue displacement caused by microelectrode. Methods In the course of DBS, the preoperative operation plan was determined by double-dose enhanced intracranial vascular imaging, and involved the use of a microelectrode without dura mater incision and other methods. Through systematic retrospective analysis, the data of 34 patients who underwent DBS surgery in the Second Affiliated Neurosurgery Department of Nanchang University from May 2016 to August 2018 were compared before and after using these methods. Results 1. Among the 34 patients, there were 19 males (55.9%) and 15 females (44.1%). In terms of age, 26 patients were older than 60 years old, accounting for 76.5% of the patients, and 8 patients were under 60 years old, accounting for 23.5% of the patients. According to the postoperative intracranial gas accumulation, before use of the improved method, the intracranial gas accumulation was 10.719 ± 14.001 ml, and after use of the improved method, the intracranial gas accumulation was 9.241 ± 9.818 ml. Chi-square analysis comparing the data before and after the improved method revealed a significant difference between the two patient groups. Before use of the improved method, two patients (13.3%) had cerebral hemorrhage, and the bleeding rate after use of the improved method was 0. Conclusion After improving the operation procedure, the displacement of brain tissue and bleeding during the operation were significantly reduced, the risks from the operation were reduced, the curative effect of the operation was improved, and good quality of life was obtained.

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