帕金森病手术治疗的随访效果和并发症

被引:4
作者
胡小吾
王来兴
机构
[1] 第二军医大学长海医院神经外科
[2] 第二军医大学长海医院神经外科 ()
[3] ()
关键词
帕金森病; 毁损术; 脑深部刺激术;
D O I
10.16636/j.cnki.jinn.2002.02.024
中图分类号
R651.1 [颅脑];
学科分类号
1002 ; 100210 ;
摘要
以核团毁损术和脑深部刺激术(DBS)为主要术式的帕金森病(PD)外科治疗在国内外广泛开展。单侧苍白球腹后部毁损术早期效果较为满意,随着PD病情进展,远期效果有所下降,丘脑腹中间外侧核毁损术对震颤效果理想。双侧毁损术并发症较高。DBS是目前PD最理想的外科治疗方法,较毁损术安全、有效,常用的靶点是丘脑底核,双侧同期或分期DBS治疗的并发症也很少,这是DBS的最大优点。
引用
收藏
页码:167 / 170
页数:4
相关论文
共 19 条
[1]  
Neurology[C]. The 5th International Congress of Pathophysiology,2006
[2]  
Stereotactic pallidotomy performed without using microelectrode guidance in patients with Parkinson’ s disease: surgical technique and 2-years results. Eskandar EN,Shinobu LA,Penney JB,et al. Journal of Neurosurgery . 2000
[3]  
Dorsal subthalamotomy for Parkinson’s disease. Alvarez L,Macias R,Guridi J,et al. Mov Disord . 2001
[4]  
Unilateral versus bilateral simulatneous posteroventral pallidotomy in subgroups of patients with Parkinson’s disease. Iacono RP,Lonser RR,Kuniyoshi S. Stereotact Funct Neurosurg . 1995
[5]  
Do unilateral ablative lesions of the subthalamic nucleu in parkinsonian patients lead to hemiballism. Barlas O,Hanagasi HA,Imer M,et al. Movement Disorders . 2001
[6]  
Thalamic deep brain stimulation for the treatment of head,voice,and bilateral limb tremor. Taha JM,Janszen MA,Favre J. Journal of Neurosurgery . 1999
[7]  
Ablative surgery and deep brain stimulation for Parkinson’ s disease. Starr PA,Vitek JL,Bakay RAE. Neurosurgery . 1998
[8]  
Changes in handwriting resulting from bilateral high-frequency stimulation of the subthalamic nucleus in Parkinson’ s disease. Seibner HR,Ceballos-Baumann A,Standhardt H,et al. Movement Disorders . 1999
[9]  
Surgical treatment options in Parkinson’s disease. Koller WC,Wilknson S,Pahwa R,et al. Neurosurg Cli Nor Am . 1998
[10]  
Treatment of advanced Parkinson’s disease by unilateral posterior Gpi pallidotomy:4-year results of a pilot study. Baron MS,Vitek JL,Bakay RA,et al. Movement Disorders . 2000