神经导航辅助内镜在脑室系统病变中的应用  

Neuronavigation assisted endoscopic surgery for lesions in ventricular system

作　　者：周东[1] 李昭杰[1] 林志俊[1] 许作奎[1] 詹升全[1] 林晓风[1] 舒航[1] 唐凯[1] 

机构地区：[1]广东省人民医院神经外科,广州510080

出　　处：《中华神经医学杂志》2006年第1期42-44,共3页Chinese Journal of Neuromedicine

基　　金：广东省科技计划项目(2003C33803);广东省医学科研基金(A2003043)

摘　　要：目的探讨神经导航辅助内镜在脑室系统病变中的应用。方法对30例脑室系统病变,包括12例实质性肿瘤、10例梗阻性脑积水、8例囊性病变患者用神经导航制定手术计划,术中导航引导内镜,按投射轨迹、靶点进行穿刺、活检或肿瘤切除。结果全部病例均能顺利、准确进行手术操作。2例囊性肿瘤和3例实质性肿瘤全切除,8例实质性肿瘤行活检和第三脑室底造瘘,6例囊性病变行造瘘和囊壁部分切除,1例实质性肿瘤行透明隔造瘘和肿瘤部分切除,10例脑积水行第三脑室底造瘘,未出现并发症。结论神经导航辅助的内镜技术最大限度的减少了对脑组织的创伤,明显提高了神经内镜手术的安全性和准确性。Objective To investigate the application ofneuronavigation assisted endoscope in the surgery for lesions in ventricular system. Methods Neuronavigation system was used in 30 patients who underwent intraventricular endoscopic procedures, including 12 solid tumors, 10 obstructive hydrocephalus and 8 cystic lesions. After individual planning had been made, endoscopic puncture, biopsy or tumor removal were underwent according to the trajectory and target point guided by navigation. Results Procedures were favoring and accurate in all cases. 2 cystic lesions and 3 solid tumors were totally removed; biopsy and third ventriculostomy were performed in 8 solid tumors; 6 cystic lesions were punctured successful for fenestration; 1 case was punctured in septum pellucidum and the tumor was partly resected; and third ventriculostomies were accomplished in 10 obstructive hydrocephalus.All cases had no complications. Conclusion Neuronavigation assisted endoscopic technique minimizes brain trauma and improves the safety and accuracy of neuroendoscopic surgery.

关 键 词：神经导航 神经内镜 脑室系统 

分 类 号：R651.1[医药卫生—外科学]