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应用SLT接触式激光显微手术治疗脑深部肿瘤6例,即颅底脑膜瘤4例,丘脑肿瘤1例,枕部小脑幕切迹室管膜瘤1例。其中1例岩—斜坡复发性脑膜瘤次全切除,其余3例脑膜瘤中1例蝶骨嵴内侧脑膜瘤及2例嗅沟脑膜瘤全切。1例丘脑肿瘤大部切除,接触式激光直接接触肿瘤组织,局部温度可达400℃,可迅速汽化、切割肿瘤,避免了激光的散射及侧射,减少对周围组织的损害,术后脑水肿反应轻,止血效果好,又可控制穿透深度,对部位深在,或富于血管的颅底脑膜瘤切除效果满意
SLT contact laser microsurgical treatment of deep brain tumors in 6 cases, namely, skull base meningioma in 4 cases, 1 case of thalamic tumors, occipital tentorial notch ependymoma in 1 case. One case of rock - recurrent recurrent meningioma of subtotal resection, and the remaining three cases of meningioma, one sphenoid ridge medial meningioma and two cases of olfactory groove meningioma cut. One case of thalamic tumor was mostly resected, and the contact laser directly contacted the tumor tissue. The local temperature was up to 400 ° C, which could rapidly vaporize and cut the tumor, avoiding the scattering and lateral projection of the laser, reducing the damage to the surrounding tissues, and postoperative cerebral edema Light reaction, good hemostatic effect, but also control the depth of penetration, deep in the site, or vascular vascular skull base meningioma resection effect satisfaction