内镜辅助锁孔手术切除颅内蛛网膜囊肿  

Microsurgical Treatment of Neuroendoscoupe Assisted of Intracranial Arachnoid Cysts(IAC) Via Keybole Approach

作　　者：唐秀文[1] 肖泉[1] 叶劲[1] 钟书[1] 蓝胜勇[1] 

机构地区：[1]广西壮族自治区人民医院神经外科,广西南宁530000

出　　处：《中国医药指南》2012年第16期39-40,共2页Guide of China Medicine

摘　　要：目的探讨内镜辅助锁孔手术切除颅内蛛网膜囊肿的临床意义。方法应用内镜辅助锁孔手术切除颅内蛛网膜囊肿19例(囊肿大部分切除加脑池交通)。结果术后3个月至2年随访,19例患者均有不同程度的改善,囊肿闭合消失15例,明显缩小4例,5例癫痫患者在小剂量抗癫痫药物辅助下均较好得到控制,头晕头痛者均获明显改善。结论内镜辅助锁孔手术切除颅内蛛网膜囊肿是一种行之有效的方法 。Objective To present a microsurgical technique for removing the Intracranial arachnoid cysts（IAC） via keyhole approach. Methods 19 cases of Intracranial arachnoid cysts were resected via keyhole approach by neuroendoscope-assisted microsurgical technique. Results Follow-up 3months to 2 years after operatin,15 cases of arachnoid cysts were found to vanish and 4 cases were found obviously diminution.5 cases of epilepsy were controlled by anti- epileptic drug assisted.There were no severe postoperative complications. Conclusion The neuroendoscop-assisted microsurgery via keyhole approach is proper for treating the Intracranial arachnoid cysts.

关 键 词：锁孔 显微手术 颅内蛛网膜囊肿 神经内镜 

分 类 号：R651.11[医药卫生—外科学]