摘要
目的 介绍神经内窥镜在神经外科疾病中的应用 ,分析内窥镜技术的手术技巧和并发症的预防 ;方法 2 0 0 0年 3月至 2 0 0 3年 6月施行内窥镜手术 6 7例 ,应用于梗阻性脑积水、颅内蛛网膜囊肿、三脑室胶样囊肿、脑内囊虫病和分流管脑室段堵塞等 ,分别施行三脑室底造瘘术、囊肿脑池造瘘术、囊肿切除术等。结果 临床有效率 86 7% ,术中出血 7例 ,死亡 1例 (1 5 % )。结论 神经内窥镜已成为某些神经外科疾病的首选治疗方案 。
Objective To evaluate the effect of neuroendoscopy on the treatment of intracranial lesions and to analyse the operative skills and precaution of complications following neuroendoscopic operation.Methods Sixty-seven patients with intracranial lesions were treated from March 2000 to June 2003, in whom 37 patients suffered from obstructive hydrocephalus, 18 intracranial arachnoid cysts, 5 colloid cysts in the third ventricle, 2 brain cysticercosis in the third ventricle, and 5 obstruction of tube of V-P shunt. Surgical procedures used in this series consisted of the third ventriculostomy, cyst-ventriculostomy, and cystectomy.Results Clinical symptoms disappeared or relieved in 58 cases. Intraoperative hemorrhage took place in 7 cases and 1 case died.Conclusions Neuroendoscopic technique has become the primary method of certain neurosurgical diseases. Great attention should be paid to select meticulously operation indications and prevent complications.
出处
《实用医院临床杂志》
2004年第3期30-31,共2页
Practical Journal of Clinical Medicine