摘要
颅底外科以颅底病变的切除、修复、矫治为主要内容,自20世纪60年代肇始以来,经过裸眼颅底外科和显微颅底外科的发展,进入了微侵袭颅底外科时代。其特点之一是利用颅底结构的自然间隙显露病变,最大限度的减少损伤。而神经内镜技术以其抵近观察、视野广阔、成像清晰的特点,尤其适用于现代颅底外科技术的要求。自1992年Jankowski等首次在内镜下行经鼻蝶入路垂体瘤切除以来,经过十几年的探索和努力,内镜颅底外科技术日趋成熟,应用范围不断扩大,基本覆盖了颅底外科的各个领域,手术质量也日益提高,创伤小、恢复快、病变处理彻底、效果可靠等优点已获广泛认同。随着经验的进一步积累,理念的不断更新,器械、设备和材料的研发与改进,内镜颅底外科将迎来更为辉煌的明天。
The skull base surgery includes excision,restoration and modification of skull base conditions,which consist of trauma,tumors,vascular lesions,congenital abnormalities,and inflammatory focus originating from or involved in skull base.It involves multidisciplinary knowledge including neurosurgery,ophthalmology,orthopedics,otolaryngology and maxillofacial surgery etc.and need assistance and participation of various modern technologies including neuro-monitoring,neuronavigation and neuro-intervention etc.Because of its deep location,complex anatomical relationships and many important tissues involved,skull base had been considered insurmountable area of surgery before 1960s.Since the onset of skull base surgery in 1960s,it has developed and strengthened step by step.Now it has step into the era of minimally invasive skull base surgery after the development of two stages of naked eye skull base surgery and microscopic skull base surgery.Its concept is to decrease the damage of normal tissues and completely treat the lesions as far as possible simultaneously by making full use of modem scientific methods and the consummate skills of the operator.One of its characteristics is utilizing the natural intervals to expose the lesions.And the neuroendoscopy can provide a closer look,wide field of vision and a distinct image,so it is fully suitable for the need of modern skull base surgery.After Jankowski treated the pituitary adenomas by endoscopic trans-nasal -sphenoidal approach for the first time in 1992,the endoscopic skull base surgery is gradually becoming mature.With the development of neurosurgical technologies including neuro-monitoring,neuro-navigation and neuro-imaging etc.and the improvement of new apparatus including high speed burrs,laser,microCUSA and holding arms etc.,the quality of endoscopic skull base surgery has obtained further improvement.Its advantages include more thorough tumor resection,fewer surgical complications and reductions in operative and hospitalization time.In this paper,we will summarize
出处
《转化医学研究（电子版）》
2012年第1期62-69,66-69+65,共8页
Translational Medicine Research(Electronic Edition)
关键词
内镜
颅底外科
转化医学
进展
endoscopy
skull base surgery
translational medicine
advancement
