神经内镜下手术在神经外科中的临床应用

Clinical application of endoscopic surgery foRneurological diseases

神经内镜技术是微创神经外科理念在临床的应用,具有创伤小、安全度高、恢复快等优点,在我国已广泛开展。目前,随着神经解剖学研究的深入,加上神经内镜质量和分辨率的提高,使得神经内镜的应用领域进一步扩大。目前,神经内镜可通过微创方法到达大脑和椎管的特定区域,逐渐成为许多微创手术方法的合适替代选择,如神经内镜下第三脑室底造瘘术、颅底手术、颅内囊肿切除术、脑室内肿瘤切除术等。本文旨在讨论神经内镜手术的适应证、应用技巧、优缺点,以便临床医生更熟悉神经内镜在某些神经外科疾病中的应用、技术和挑战。

The neuroscope technology is the application of minimally invasive neurosurgical concept in clinical practice,which has the advantages of small trauma,high safety,and fast recovery.It has been widely used in China.Currently,with the deepening of neurosurgical anatomy research,coupled with the improvement of the quality and resolution of the neuroscope,the application scope of the endoscopic surgery has been furtheRexpanded.Currently,the neuroscope can reach specific regions of the brain and spinal canal through minimally invasive methods,and is gradually becoming a suitable alternative choice foRmany minimally invasive surgical procedures,such as endoscopic third ventriculostomy,skull base surgery,intracranial cyst resection,and intracranial tumoRresection.This article aims to discuss the indications,application details,advantages and disadvantages of endoscopic surgery,so that clinical doctors can be more familiaRwith the application,technology and challenges of the neuroscope in certain neurosurgical diseases.