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单纯内镜下颅内病变的手术治疗
引用本文:孙志刚,徐凤科,包金锁,陈伟,佟强,林海峰,杜成华,白冬松,钟锰.单纯内镜下颅内病变的手术治疗[J].内蒙古医学杂志,2007,39(6):643-646.
作者姓名:孙志刚  徐凤科  包金锁  陈伟  佟强  林海峰  杜成华  白冬松  钟锰
作者单位:内蒙古民族大学附属医院神经外科,内蒙古,通辽,028000
摘    要:目的:探讨单纯内镜(EN)下颅内病变的手术治疗。方法:应用内窥镜技术治疗各种颅内病变38例,其中梗阻性脑积水18例,透明隔囊肿10例,单侧室间孔阻塞4例,鞍上囊性颅咽管瘤2例、鞍上巨大囊肿2例。蛛网膜囊肿2例。结果:随访3~21个月。本组除4例梗阻性脑积水及1例透明隔囊肿外,治疗均有效(86.8%)。并发症最常见的为术后发热,其次为硬膜下积液,脑室出血。结论:神经内窥镜治疗颅内某些病变,手术副损伤小,疗效确切。要求选择适当的适应证和掌握神经内窥镜手术的基本原则。

关 键 词:神经内窥镜  颅内病变  手术治疗
文章编号:1004-0951(2007)06-0643-04
修稿时间:2006-12-13

Endoscopy For Intracranial Diseases
SUN Zhi-gang,XU Feng-ke,BAO Jin-suo,CHEN Wei,TONG Qiang,LIN Hai-feng,DU Cheng-hua,BAI Dong-song,ZHONG Meng.Endoscopy For Intracranial Diseases[J].Inner Mongolia Medical Journal,2007,39(6):643-646.
Authors:SUN Zhi-gang  XU Feng-ke  BAO Jin-suo  CHEN Wei  TONG Qiang  LIN Hai-feng  DU Cheng-hua  BAI Dong-song  ZHONG Meng
Institution:Department of Neurosurgery, The Affiliated Hospital of Inner Mongolia Nation University, Tongliao 028000 China
Abstract:Objective:To explore the endoscopy in treatment of intracranial diseases.Methods: 38 cases of incranial diseases including 18 obstructive hydrocephalus,10 septum pellucidum cyst,4 obstruction in monro's foramen,2 supra-Saddle macrocapsule,2 arachnoid cyst and 2 cystic craniopharyngioma performed surgery with endoscopy.Results: Followed up between 3 and 21 months,the effective rate in cases except for 4 obstructive hydrocephalus and 1 septum pellucidum cyst was 86.8%.The common complications were postoperative fever,subdural fluidify and verebroventricular haeorrhage.Conclusion:The operation with endoscope is effective with minitrauma.Proper indication and basic principle should be grasped.
Keywords:Neuroscope  Intracranial disease  Operation
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