神经内镜在显微神经外科中的应用探讨

Application of Neuroendoscopy in Micro-neurosurgery

目的:探讨神经内镜在显微神经外科中的应用范围、适应证及疗效。方法:笔者所在科2013年至今使用神经内镜单独或辅助完成神经外科手术63例,其中后交通动脉瘤22例,非交通性脑积水14例,垂体瘤19例,脑室内肿瘤5例,表皮样囊肿3例。结果:14例非交通性脑积水患者术后脑积水明显缓解。22例后交通动脉瘤术后复查CTA见动脉瘤被夹闭。19例垂体瘤中,15例全切,4例大部分切除。5例脑室内肿瘤、3例表皮样囊肿获得全切。无因手术死亡病例。结论:神经内镜用于显微神经外科,使手术更加微创,视野更加清晰,疗效明显,减少了手术并发症。

Objective：To investigate the effect of neuroendoscope in micro neurosurgery.Method：63 patients including 22 posterior communicating artery aneurysms,14 non-communicating hydroceohalus,19 pitutary tumors,5 intraventricular tumors,3 epidermoid cysts were treated with neuroendoscope by EN or EAM.Result：After surgical operation,the 14 non-communicating hydroceohalus were improved;22 posterior communicating artery aneurysms were clipped successfully;15 intraventricular tumors were totally removed and 4 cases were gotten subtotal removal;5 intraventricular tumors and 3 epidermoid cysts were totally resected.Conclusion：Neuroendoscope in micro neurosurgery make the minimally invasive for surgery.Neuroendoscopy can improve visualization during surgery and take the good effect,and reduce complications.