合理运用多模态监护技术的多学科协作促进颅底外科的发展  

Proper multimodal monitoring and multidisciplinary cooperation promotes development of skull base surgery

作　　者：钟东[1] ZHONG Dong(Department of Neurosurgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China)

机构地区：[1]重庆医科大学附属第一医院神经外科,重庆400016

出　　处：《临床神经外科杂志》2020年第3期250-253,共4页Journal of Clinical Neurosurgery

摘　　要：颅底外科涉及多学科,建立各学科团队间的长效合作机制,有利于颅底外科相关基础研究及临床转化的不断发展。颅底病灶位置深在,涉及复杂且重要的神经、血管,术中多模态监护技术可以在平衡颅底病灶切除程度与手术安全性、患者术后生存质量等方面给术者提供更多的参考依据。内镜经鼻蝶由颅底中线向前后及向两侧的解剖学研究,大大地促进了内镜颅底外科手术技术的发展。最终从事颅底神经外科亚专业的医生早期应力求在脑血管病亚专业、脊柱脊髓亚专业、神经内镜手术等方面平衡发展。将来优秀的颅底神经外科医生一定是善于多学科协作的神经外科多面手。Skull base surgery is multidisciplinary,the continuous development of basic research and clinical transformation of skull base surgery requires long-term effective cooperation between multidisciplinary team.Skull base lesions are deep-seated and involve complex and important nerves and blood vessels.With intraoperative multimodal monitoring,surgeon can get more information to weigh the pros and cons of the extent of resection,surgical safety,postoperative life quality of patients and other aspects.The anatomical study of skull base from the midline to the front and rear and bilateral via transsphenoidal approach by neuroendoscopy has greatly promoted the development of endoscopic skull base surgery.Skull base surgeons should balance developing their knowledge in the subspecialty of cerebrovascular,spine and spinal cord,neuroendoscopic surgery besides skull base surgery.An excellent skull base surgeon in the future must be an expert in multidisciplinary.

关 键 词：多模态监护 多学科协作 神经内镜技术 脑血管重建技术 颅底外科 

分 类 号：R651.1[医药卫生—外科学]