立体定向脑内窥镜手术30例

Stertotactic endoscopic operation on 30 brain lesions

采用ＣＴ引导立体定向技术，施行脑内窥镜手术３０例，包括脑肿瘤切除１５冽、脑囊肿摘除５例、脑内异物摘除４例、脑脓肿摘除３例、脉络丛烧的治疗脑积水２例、脑内寄生虫取出１例。病变均位于脑深部或重要功能区，其中鞍区１５冽、大脑半球６例、基底节区５例、侧脑室内２例、小脑半球２例。术中应用Ｈｏｌ：ＹＡＧ激光，效果良好。手术有效率９６．７％（术后１月）。术后无昏迷、偏瘫、颅内感染等严重并发症。

Endoscopic operations were performed on 30 brain lesions with CT-guided stereotactic technique.The operation sincluded as followings:excision of brain tumor in 15 cases,extraction of cyst in 5,extirpation of foreign body in 4,extraction of abscess in 3,cautarization of choroid plexus for hydrocephalusin 2 and ex-traction of cerebral cysticerosis in 1.All lesions were located in deep bain or main functional area,including sellar area in 15 cases,cerebrum in 6,basal ganglion in 5,intraventricle in 2 and cerebellum in 2.Holmiumlaser was successfully used in the endoscopic operation. The effective rate was 96.7%,one month after the operation. There was no serious complications,such as coma,hemiparalysis,intracramial hematoma and infec-tion.