神经内镜的临床应用(附49例报告)  

Clinical application of neuroendoscope (report of 49 cases)

作　　者：胡火军[1] 郭金满[1] 汪雷[1] 易书贵[1] 

机构地区：[1]三峡大学第一临床医学院,湖北省宜昌市中心人民医院神经外科,湖北宜昌443003

出　　处：《中国内镜杂志》2007年第8期873-875,878,共4页China Journal of Endoscopy

摘　　要：目的探讨神经内镜在颅内疾病临床治疗中的作用。方法对49例神经内镜手术病人的临床资料进行回顾性研究,其中单纯神经内镜手术38例,内镜辅助下显微神经外科手术6例,内镜控制下显微神经外科手术5例,并对手术指征、方法、并发症和优缺点等进行了分析。结果49例患者术后临床症状和体征均有不同程度的恢复或好转。术后发热4例,气颅、术中出血和动眼神经麻痹各1例。结论神经内镜技术的应用可以减少以往单纯开颅手术带来的创伤,在尽可能保护正常组织的同时,最大限度地去除病变,有助于提高疗效,减少并发症。[Objective] To investigate clinical effect of neuroendoscope for the treatment of intracranial disorders. [Methods] 49 cases treated with neuroendoscopy were studied retrospectively regarding to operative indication, method and complications, endoscopic neurosurgery （EN） was used in 38 patients, endoscope assisted mieroneurosurgery （EAM） in 6, and endoscope controlled microneurosurgery （ECM） in 5 cases. [Results] Clinical symptoms and signs were relieved in various degrees in all patients, there were complications of postoperative fever in 4 cases, intraoperative bleeding, temporary oculomotor paralysis, and pneumocephalus in 1 case repectively. [ Conclusions] Clinical application of neuroendoscopic techniques can decrease the damage caused by pure open surgery operation. It is possible to resect lesions at the utmost and protect normal tissue. It is also helpful to enhance surgical quality and reduce the complications.

关 键 词：神经内镜 神经外科手术 脑积水/脑脓肿 高血压性脑病 脑肿瘤 

分 类 号：R742[医药卫生—神经病学与精神病学]