神经内镜的临床应用

Clinical Application of Neuroendoscope

目的:探讨神经内镜治疗脑积水、蛛网膜囊肿、脑室出血的临床应用。方法:回顾性分析2009年12月-2012年10月的45例患者,脑积水22例,(其中6例脑积水合并囊肿),蛛网膜囊肿22例;脑室出血并侧脑室铸型1例,全部病例采用内镜手术治疗:脑积水行三室底造瘘术,脑积水合并囊肿同时行囊肿-脑室造瘘,蛛网膜囊肿行囊肿-脑池或脑室或蛛网膜下腔造瘘术。结果:45例患者术后临床症状消失或明显改善,影像学检查脑室或囊肿不同程度缩小。结论:神经内镜对于脑积水、蛛网膜囊肿、脑室出血并铸型的治疗损伤小,效果好。

Objective： To investigate the clinical application of rigid neuroendoscopy therapy for hydrocephalus and arachnoid cyst and intraventrieular hemorrhage, Method： From December 2010 to obertober 2012, 45 patients with 22 cases of hydrocephalus （ including 6 eases of hydrocephalus associated with arachnoid cyst ）, 22 eases of arachnoid cyst, 1 ease of intraventrieular hemorrhage, all of them underwent rigid nueroendoseopie surgery： endoscopic third ventriculostomies （ ETV ） were made in eases of hydrocephalus, ETVS and cysts - ventrieulostomies were made in eases of hydroeephalus associated with arachnoid cyst and endoscopic operation for evacuation of intraventrieular hemorrhage was made in 1 patient. Result： All patients were cured and improved after endoscopic surgery, ventricular and cyst have reduced in different degree. Conclusion： Neuroendoseopy is injury small and effeetively in treatment of hydrocephalus, arachnoid cyst, and the mold of ventricular hemorrhage.