神经内镜下显微外科治疗颅内病变

TREATMENT OF INTRACRANIAL LESIONS WITH ENDOSCOPE-ASSISTED MICROSURGERY

目的 :探讨神经内镜在显微外科治疗颅内病变中的作用。方法 :应用神经内镜结合CRW立体定向仪在MRI或CT导向下进行颅内肿瘤活检和囊肿开窗疏通术 ,或在神经内镜辅助下行小切口开颅手术切除颅内肿瘤和行三叉神经根减压术。结果 :30例病人 ,包括 4例颅内肿瘤 ,4例透明隔囊肿 ,7例蛛网膜囊肿 ,2例鞍区胆质瘤 ,5例三叉神经痛 ,8例桥小脑角肿瘤 ,术后所有病人均恢复良好 ,无严重并发症出现。结论 :神经内镜有助于颅内病变的诊断和治疗 ,尤其是与立体定向术结合具有微创、准确、简便、并发症少、恢复快等优点 ,是微侵袭神经外科最重要的治疗手段之一。

Objective:To discuss the application of neuroendoscopy in the treatment of intracranial lesions.Methods:Using neuroendoscopy combined with CRW stereotactic instrument to do the tumor biopsy and the shunt of arachnoidal cyst under the guidance of CT or MRI, and using the endoscopy-assisted microneurosurgery to remove intracranial tumors and the trigeminal microvascular decompression.Results:Thirty cases, including 4 cases of glioma, 4 cases of pellucidum septal cyst, 7 cases of arachnoidal cyst, 2 cases of sellar epidermoid cysts,5 cases of trigeminal neuralgia, 8 cases of cerebellopontine angle tumors, were treated successfully without severe complications.Conclusions:Neuroendoscopy is helpful for the diagnosis and treatment of intracranial lesions, the stereotactic endoscopic neurosurgery is minimally invasive, simple, accurate, shorter hospitalization and less operative complications. This technique will be one of the most important procedures of minimally invasive neurosurgery.