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神经内镜治疗颅内病变的临床应用
引用本文:师蔚,王睿智,缪星宇,宋琴,周任,高李贵,屈建强,崔刚,巩守平,孙建军,吕健,刘重霄,周乐.神经内镜治疗颅内病变的临床应用[J].西安交通大学学报(医学版),2005,26(6):607-610.
作者姓名:师蔚  王睿智  缪星宇  宋琴  周任  高李贵  屈建强  崔刚  巩守平  孙建军  吕健  刘重霄  周乐
作者单位:1. 西安交通大学第二医院神经外科,陕西,西安,710004
2. 陕西省人民医院神经外科
摘    要:目的探讨神经内镜的临床适应证、操作要点及其优缺点。方法采用神经内镜治疗颅内各种病变69例,其中垂体腺瘤6例,蛛网膜囊肿21例,脑积水18例,透明隔囊肿6例,颅内表皮样囊肿8例,血管网织细胞瘤9例,颅内多发性转移瘤1例。结果69例患者术后临床症状和体征均有不同程度的恢复或好转,头颅CT、MRI复查颅内病灶明显改善。结论神经内镜对于颅内多种病变的治疗具有手术创伤小、术后反应轻和患者恢复快的特点,是目前微创神经外科治疗的首选方法。

关 键 词:神经内镜  治疗  颅内病变
文章编号:1671-8259(2005)06-0607-04
收稿时间:2005-07-20
修稿时间:2005-08-31

Clinical application of neuroednoscope for the treatment of intracranial disorders
Shi Wei,Wang Ruizhi,Miao Xingyu,Song Qin,Zhou Ren,Gao Ligui,Qu Jianqiang,Cui Gang,Gong Shouping,Sun Jianjun,Lü Jian,Liu Chongxiao,Zhou Le.Clinical application of neuroednoscope for the treatment of intracranial disorders[J].Journal of Xi‘an Jiaotong University:Medical Sciences,2005,26(6):607-610.
Authors:Shi Wei  Wang Ruizhi  Miao Xingyu  Song Qin  Zhou Ren  Gao Ligui  Qu Jianqiang  Cui Gang  Gong Shouping  Sun Jianjun  Lü Jian  Liu Chongxiao  Zhou Le
Abstract:Objective To investigate the clinical indication,key operating,points advantages & disadvantages of endoscopic neurosurgery.Methods A total of 69 patients with intracranial disorders were treated by endoscopic neurosurgery,6 suffering from pituitary adenoma,21 from intracranial arachnoid cysts,18 from hydrocephalous,6 from septum pellucidum,8 from intracranial epidermoid cyst,9 from angioreticuloma and 1 from intracranial multiple metastatic tumor.Results Clinical symptoms and signs were relieved in various degrees,and the clinical manifestation and CT and MR image were obviously improved in all patients after operation.Conclusion Endoscopic neurosurgery is a safe and effective treatment methord for some patients with intracranial disorders.It is characteristic of less operation damage,light patient's reaction and faster rehabilitation for the patients following operation.Therefore,it is now the first choice for the minimally invasive neurosurgery.
Keywords:neuroendoscopic  treatment  intracranial disorders
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