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内镜辅助锁孔手术切除颅内蛛网膜囊肿 被引量:1

Microsurgical Treatment of Neuroendoscoupe Assisted of Intracranial Arachnoid Cysts(IAC) Via Keybole Approach
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摘要 目的探讨内镜辅助锁孔手术切除颅内蛛网膜囊肿的临床意义。方法应用内镜辅助锁孔手术切除颅内蛛网膜囊肿19例(囊肿大部分切除加脑池交通)。结果术后3个月至2年随访,19例患者均有不同程度的改善,囊肿闭合消失15例,明显缩小4例,5例癫痫患者在小剂量抗癫痫药物辅助下均较好得到控制,头晕头痛者均获明显改善。结论内镜辅助锁孔手术切除颅内蛛网膜囊肿是一种行之有效的方法 。 Objective To present a microsurgical technique for removing the Intracranial arachnoid cysts(IAC) via keyhole approach. Methods 19 cases of Intracranial arachnoid cysts were resected via keyhole approach by neuroendoscope-assisted microsurgical technique. Results Follow-up 3months to 2 years after operatin,15 cases of arachnoid cysts were found to vanish and 4 cases were found obviously diminution.5 cases of epilepsy were controlled by anti- epileptic drug assisted.There were no severe postoperative complications. Conclusion The neuroendoscop-assisted microsurgery via keyhole approach is proper for treating the Intracranial arachnoid cysts.
出处 《中国医药指南》 2012年第16期39-40,共2页 Guide of China Medicine
关键词 锁孔 显微手术 颅内蛛网膜囊肿 神经内镜 Keyhole microsurgery Intracranial arachnoid cysts(IAC) Neuroendoscope
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  • 1Pemeczky A,Van Lindert E,Fries G. Keyhole concept in neurosu- rgery, with endoscope assisted microsurgery and case studies[M].New York:Thieme, 1998:37-234.
  • 2Samii M,Carvalho GA,Schuhaman MU,et al.Arachnoid cyst of the posterior fossa[J].Surgneurol, 1999,51 (4):376-382.
  • 3Gelabert GM. Intracranial arachnoid cysts[J].Rev Neurol,2004,39(12):1161-1166.
  • 4Lezcano-Ortiz HI,Peregrino-Reyes R,Perez-Fonseca M,et al.The diagnosis and treatment of children with arachnoid cyst associated to mild traumatic brain injury[J].Rev Neurol,2006,42(6):383-384.

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