硬质内镜辅助下行脊膜膨出和脊髓脊膜膨出修补术的初步体会

Introduction of preliminary experience of using rigid neuroendoscope in repair of spinal meningocele or myelomeningocele

目的 介绍在脊膜膨出和脊髓脊膜膨出手术中使用硬质神经内镜的初步体会。方法 2013年5月应用硬质神经内镜完成1例脊膜膨出和2例脊髓脊膜膨出的切除和修补术。男2例,女1例;中位年龄20个月（13-22个月）。手术在神经电生理监测下完成,全程应用硬质内镜观察,手术操作均在镜鞘外进行。结果 3例手术过程均顺利,术后恢复良好,无并发症发生。随访1年,术前症状均明显改善。结论 硬质神经内镜可用于脊膜膨出和脊髓脊膜膨出的手术治疗,可简化手术过程,减少组织损伤。

Objective To introduce the preliminary experience of using rigid neuroendoscope in repair of spinal meningocele or myelomeningocele. Methods 3 infantile patients aging between 13 months and 22 months underwent the resection and repair of spinal meningocele or myelomeningocele in May, 2013. The operations were performed under the direct visualization of the rigid neuroendoscope in the aid of the intraoperative electrophysiological monitoring. All the surgical manipulations were accomplished outside the sheath of the endoscope. Results The surgical procedures were smooth. All the patients recovered satisfactorily. There was no postoperative complication.At the one-year follow-up, they were developing normally. Conclusions The rigid neuroendoscope is useful to the resection and repair of spinal meningocele and myelomeningocele. It could simplify the surgical procedures.