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脑干手术彩色图谱
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脑干含有神经系统重要的神经核团及神经纤维束,一直被视为中枢神经系统之“中枢”,也一直被视为“手术禁区”。来自美国凤凰城的巴罗神经外科中心的 Robert F. Spetzler 教授长期致力于脑干手术安全区相关解剖和手术入路研究,并在手术中不断实践,积累了大量宝贵经验,通过整合大量解剖图片和病例资料(包括手术视频),讲解脑干不同部位病灶切除的手术入路,将经验呈现给读者。本书是一部不可多得的脑干手术教科书,在国内,北京天坛医院...
脑干含有神经系统重要的神经核团及神经纤维束,一直被视为中枢神经系统之“中枢”,也一直被视为“手术禁区”。来自美国凤凰城的巴罗神经外科中心的 Robert F. Spetzler 教授长期致力于脑干手术安全区相关解剖和手术入路研究,并在手术中不断实践,积累了大量宝贵经验,通过整合大量解剖图片和病例资料(包括手术视频),讲解脑干不同部位病灶切除的手术入路,将经验呈现给读者。本书是一部不可多得的脑干手术教科书,在国内,北京天坛医院等神经外科中心在脑干手术方面也积累了许多经验。浙江大学医学院附属第二医院神经外科张建民教授牵头组织了该书的翻译工作,将这部脑干手术的旷世之作介绍给国内神经外科同道。相信各位同道一定能从该图谱中开拓视野,借鉴学习,积累经验,并在实践中不断提升手术技术。本书出版将推动我国脑干疾病的诊疗水平,更好地服务广大患者。
本书为国际神经外科著名专家共同编著的关于脑干解剖及外科手术的图谱,详细介绍了脑干的神经解剖及在脑干手术中相对安全的入路,总结了脑干手术的原则及对脑干、丘脑、松果体等部位病损的手术入路解剖,同时列举了大量脑干手术的临床病例。本书以图为主,辅以简明扼要的文字解说,同时配合大量解剖绘图、影像学图片、手术图片(合计 1 700余幅),以及视频(51 部)和动画(7 个),使读者能更好地掌握脑干手术的操作技巧。本书适合国内各级神经外科及相关科室临床医生阅读。
Robert F. Spetzler [美] 美国巴罗神经学研究所主席
张建民浙江大学医学院附属第二医院神经外科主任,兼脑科中心、脑血管介入中心及脑胶质瘤中心主任;浙江大学脑医学研究所所长。教授、主任医师、博士生导师,浙江大学求是特聘医师。擅长脑血管病和颅底外科等显微神经外科手术。现任浙江省医学会神经外科分会主任委员,浙江省抗癌协会神经肿瘤分会主任委员,浙江省医师协会神经外科分会筹委会负责人,浙江省神经外科技术指导中心专家委员会主任。中华医学会神经外科分会常委兼脑血管学组组长,中国医师协会神经外科分会常委兼脑血管病学组副主任委员,中国医师协会老年医学分会常委,世界华人神经外科协会常委,中国卒中协会理事,中国抗癌协会神经肿瘤分会委员,中国神经科学协会神经肿瘤分会副主委等。
1 解剖 001Anatomy 脑干的内部解剖 001 脑干的表面解剖 017 脑干的纤维束 019 中脑 034 脑桥 048 延髓 063 齿状核和小脑脚 075 脑神经和颅底 0802 安全进入区 085Safe Entry Zones3 脑干手术技巧 103Tenets of Brainstem Surgery4 丘脑、松果体和脑干病变的手术入路 129Approaches to Thalamic, Pineal, and Brainstem Lesions5 病例 251Case Examples索引 539Index
脑干含有密集的神经纤维和重要神经核团,是人体生命中枢所在,一直以来被视为手术禁区。以往罹患脑干疾病的患者只能接受保守治疗,听命于疾病的进展而束手无策。这主要是由于神经外科医生对脑干相关解剖、生理特点等知识掌握有限,缺乏相关手术指征、入路及操作要点等实战经验,以及缺少专业的手术器械和监测手段不足等。零星的手术也往往因后遗症严重、预后不佳而使医生“望而生畏”。近年来,随着对脑干显微解剖及功能的进一步认识、神经影像及融合技术的发展、术中监测水平的不断提高,特别是通过探索不同脑干病变选择合适安全的手术入路,手术治疗效果得以不断提升,让医生体会到安全切除脑干病灶并非不可能。基于此,来自美国凤凰城的巴罗神经外科团队编写了《脑干手术彩色图谱》。本书整合了大量解剖实体图片,将手术入路和断层解剖融合,清晰讲解相关入路的解剖学基础知识,便于读者记忆。同时,编者将相关病例附之于后,进一步分析和探讨,便于读者理解。更可贵的是,读者在参考相似病例手术入路的同时,也能结合自身的相关病例,进一步“鉴赏”各手术入路,便于举一反三。本书主要分成五大部分:部分重点复习脑干解剖,以断层解剖为主;第二部分讲解脑干手术安全入路区域;第三部分阐述脑干手术重要原则和理念;第四部分列举丘脑、松果体区和脑干手术入路;第五部分是病例讲解和演示。此外,本书配备了手术视频,可通过手机扫码观看,以便读者加深印象和便于理解。本书内容丰富、涵盖面广,为此,我们组织了国内同道共同翻译,期望能为大家拓展视野,积累诊治经验,提升脑干手术水平,终造福于患者。由于译者脑干手术经验有限,翻译如有不妥之处,敬请广大读者批评指正。同时,衷心感谢参与翻译、校对的各位同道,感谢在本书出版过程中给予无私帮助的朋友们。
张建民2022年秋于杭州
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