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手术治疗帕金森氏病(PD)是一个又重新感兴趣的话题。最近,有关腹后侧中央苍白球切开术的报道也证实了其对中度PD确有一定的作用。本文作者选择了5例进展型PD病例对其在手术危险性、有效和操作体会方面进行了详细的研究,并对实验结果提出了一些自己的见解。 本组5例中,男3例,女2例。平均年龄67岁,平均病程11.6年,在“关闭”状态下Hoehn和Yahr期平均为3.9年。病例中大多数有严重的运动变形和药量峰期的运动障碍或张力障碍,他们术前至少经过6个月以上的药物(左旋多巴)治疗。研究中对每
Surgical treatment of Parkinson’s disease (PD) is a topic of renewed interest. Recently, reports of ventral pelvic medulla oblongata have also confirmed its effect on moderate PD. The authors selected 5 patients with progressive PD to conduct a detailed study of their risk, effectiveness and operational experience, and put forward some opinions on the experimental results. The group of 5 patients, 3 males and 2 females. The average age was 67 years with an average duration of 11.6 years. The mean Hoehn and Yahr periods were “off” at 3.9 years. Most of the cases had severe motion distortions and dyskinesia or dystonia at the dose peak, and they were treated with at least 6 months of medication (levodopa) before surgery. Study on each