经脑沟入路切除脑功能区深部小病灶:22例报告

摘要

Objective To discuss the surgical approaches for the small lesions located in the cerebral functional areas. Methods A total of 22 cases of small lesions in cerebral functional areas were performed stereotactic microsurgery via brain transsulcal approach. Results Total removal was achieved in all cases. Short-term functional decline occurred in 3 cases after operation, which got recovery in various degree within 3 months. Conclusion Stereotactic surgery via transsulcal approach for the removal of small lesions in cerebral functional areas is recommended because the lesions can be removed without impairment of cortical functions.%目的 探讨脑功能区深部小病灶手术切除的方式和方法.方法 22例位于脑功能区深部小病灶,均采用立体定向引导,经脑沟入路的方式进行病灶显微手术切除.结果 22例病灶均获得全切除,术后3例短期内功能下降,3个月后有不同程度的恢复.结论 立体定向引导经脑沟入路进行脑功能区深部小病灶显微手术切除,可以在保留皮层功能的情况下切除病灶.