摘要
目的 探讨神经内镜在颅内疾病临床治疗中的作用。 方法 应用神经内镜治疗颅内疾病患者 315例 ,其中单纯神经内镜手术 2 19例 ,内镜辅助的显微神经外科手术 72例 ,内镜控制的显微神经外科手术 2 4例。 结果 单纯神经内镜手术的 2 19例中 2 0 1例 (91 8% )有效 ;内镜辅助手术的 72例 ,术中均明显改善暴露 ,减少正常神经组织的牵拉 ,降低手术并发症 ;内镜控制手术的 2 4例中 ,2 1例 (87 5 % )取得满意治疗结果。本组病例无严重并发症。 结论 内镜用于神经外科 ,使手术更加微创化 ,疗效明显 ,副损伤及并发症发生率明显降低。
Objective To investigate the effect of neuroendoscope on surgery. Methods 315 patients were treated with neuroendoscope. Endoscopic neurosurgery (EN) was used in 219 patients, endoscope assisted microneurosurgery (EAM) in 72, and endoscope controlled microneurosurgery (ECM) in 24. Results 201(91 8%) of the 219 patients underwent EN effectively. In 72 patients who underwent EAM there was less retraction during tumor removal and visual control was improved. 21 (87 5%) of the 24 patients underwent ECM effectively. No severe complications were observed. Conclusion Neuroendoscopy can reduce tissue trauma, improve visualization during tumor removal, and reduce complications.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2002年第3期187-190,共4页
Chinese Journal of Surgery
基金
广东省科委重点攻关项目 (99B0 670 1G)
关键词
内窥镜
神经外科手术方法
脑肿瘤
颅内疾病
Surgical procedures, endoscopic
Neurosurgical procedures
Brain neoplasms