Neyrokhirurgia-Grinberg-2010-pdf
.pdf3. |
20 |
. 3-10. ( )
( )
15-20% .
« »:
( , -
)17
1 ( ): .
-
; -
3. |
21 |
( ) .
.
.
2 ( ): . -
(
). 3 :
A.: , -
,
B.: , -
,
C.: -
, -
( )
3 ( ): -
( ), . -
,
, -
. ( ):
A.( ) a -
B.(vidian) : -
, 30% ,
4 ( ): ,
, . , -
, , ,
(
) .
( -
). ,
:
A.(
):
1.( -
)
3.(a -
):
; , -
, . -
)
3. |
22 |
C.( 80%)
D.( 30% -): 21
5 ( ):
, ;
6 ( ):
A.( ) – 89%
(
8% ;
3% 22). .
B.a -
( )
C.( ):
1.-
(a ,
): .
)
D.: 2-4 -
a , -
, ( ) ( 50% ), , ,
( ) ( -
. .751)
1.: -
a
7 ( ):
, II III , -
,
( ): .
. 19-3, .560.
( ): II -
.
. . 19-2, .560.
3. |
23 |
. . 19-5, .562.
( ) -
. 4% -
. 4 :
: -
6
: -
( ) . -
2
: 2,
: -
,
( )
10% , – 5%
.
:
1.: 2,
, -
-
3.( )
5.( ) – :
4 , 3 :
A.: -
B.( – ):
C.: -
D.( – ):
1.(1 ) (
) a IV
E.:
3. |
25 |
. . 19-4, .561.
( ).
. -
.
, ., 23.
( -
):
2.( 65% -
)
A.( )
B.(torcular herophili)
a.( ): -
-
(
)
b.( )
I.(
, . ,
.562)
II.
III.:
:
2., -
-
. -, 24 25 -
, . 1. :
A.
3. |
26 |
B.(
)
2.26:
(III )
(IV )
(V1)
(V2): -
, ,
(
)
(VI ): , -
, ,
3.: III IV-
, – V1 VI . -
27,28( .3007)
3. |
27 |
. 3-11. ( ) (
F.Umansky and H.Nathan, J. of Neurosurgery, 1982, 56:228-34, -
)
3.5. ( )
. 3-10. « » ( . -) ( A-D . 3-12)
|
|
|
|
|
||
|
|
|
|
|
|
|
) |
- |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
3. |
|
|
28 |
||
|
|
|
|
|
||
) |
|
|
|
|
||
|
|
|
|
, |
||
|
|
|
|
|
- |
|
|
|
|
|
|
|
|
|
|
|
|
|
- |
|
|
|
|
|
( - |
||
|
|
|
|
3, 2, 1) |
|
|
( ) |
|
|
|
|
|
|
|
- |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
) |
- |
|
(D) |
- |
|
- |
- |
||
|
|
|
|
|
|
|
1.a
)
2.( . ) a
).
3. |
29 |
. 3-12.
3.6.
3
3.: 80% 1 ,
.
. . -
= ( )
, -
,
, , -
.)29. ,
, . VIII -
8-12 -