[1]耿鑫.CT引导内窥镜立体定向术治疗颅内病变的临床研究[J].临床神经外科杂志,2014,(02):122-124.
点击复制

CT引导内窥镜立体定向术治疗颅内病变的临床研究()
分享到:

《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
期数:
2014年02期
页码:
122-124
栏目:
论著
出版日期:
2014-04-30

文章信息/Info

Title:
Clinical Research of CT-guided Endoscopic Stereotaxy for Intracranial Lesions
作者:
耿鑫
昆明医科大学第一附属医院
关键词:
神经内镜立体定向颅内病变
Keywords:
NeuroendoscopyStereotactic techniqueIntracranial lesions
分类号:
R739.4
文献标志码:
A
摘要:
目的 探讨CT引导内窥镜立体定向术的临床应用价值。方法 回顾性总结2009年1月至2013年2月间昆明医科大学第一附属医院神经外二科收住院并行CT引导内窥镜立体定向术的24例病例,患者年龄10~62岁(平均34岁);其中男性患者15例,女性患者9例;其中包括:颅内病变活检8例、脑肿瘤切除6例、脑囊虫取出4 例、囊性颅咽管瘤Ommaya管置入2例、脑内异物取出2例、蛛网膜囊肿造瘘2例。结果 手术有效率为95.8%,无术后昏迷、偏瘫、感染、颅内出血等严重并发症。 结论 内窥镜立体定向术将立体定向术的准确定位功能和神经内镜术在直视下操作的优点相结合,扩大了手术范围,提高了手术安全性,是一种微侵袭性新手术方法。
Abstract:
Objective To investigate the clinical value of CT-guided endoscopic stereotaxy. Methods 24 patients whom between January 2009 and February 2013 in the First Affiliated Hospital of Kunming Medical University underwent CT-guided Endoscopic Stereotaxy were analyzed retrospectively. The patients were aged between 10 and 62 years(mean age 34 years). There were 15 males and 9 femals. The operations included as follows:biopsy of intracranial lesions in 8,excision of brain tumor in 6,extraction of cerebral cysticerosis in 4,implanting Ommaya tube into the cyst of cystic craniopharyngioma in 2,extirpation of foreign body in 2,fistula of arachnoid cyst in 2. Results The effective rate was 95.8%. There were no serious complications,such as coma,hemiparalysis,infection and intracranial hematoma. Conclusion Endoscopic stereotaxy can perfectly combine accurate orientation function of stereotatic technology and operating under direct vision with neuroendoscopy,which broadens the operative range,increases the operative safety and creates a new minimally-invasive way.

相似文献/References:

[1]佘磊,李育平,张恒柱,等.神经内镜锁孔入路与传统开颅术治疗颅内血肿的对比研究[J].临床神经外科杂志,2014,(01):33.
[2]徐成伟,朱宏伟,高乃康,等.142例鞍区占位病变手术治疗总结[J].临床神经外科杂志,2014,(01):51.
[3]马俊伟,蒋栋毅,陈寒春,等.神经内镜下经鼻蝶入路垂体腺瘤手术切除的临床疗效分析[J].临床神经外科杂志,2015,(01):48.
[4]张红波,陈谦学,穆林森.斜坡异位泌乳素垂体腺瘤1例临床分析并文献复习[J].临床神经外科杂志,2016,(01):16.
[5]赵程程,王传方,蒋太鹏,等.听神经鞘瘤治疗及相关颅神经保护的研究进展[J].临床神经外科杂志,2016,(01):76.
[6]荣道建,杨晓健,赵俊伟.神经内镜辅助原发性三叉神经显微血管减压术[J].临床神经外科杂志,2015,(02):89.
[7]王勇,吴冲,张洪亮,等.神经内镜下切除功能性垂体瘤术后激素水平改善的效果分析[J].临床神经外科杂志,2015,(04):265.
[8]张元隆,江常震,王晨阳.经额开颅手术后额窦炎的处理[J].临床神经外科杂志,2015,(05):380.
[9]陈旭东,朱美晓,成力伟,等.微骨孔入路神经内镜下超早期治疗脑出血疗效研究[J].临床神经外科杂志,2014,(03):197.
[10]魏雪峰,曹富裕,李宗正.三种不同方式治疗高血压脑基底节区出血的回顾性临床研究[J].临床神经外科杂志,2014,(06):456.

备注/Memo

备注/Memo:
[收稿日期] 2013-06-05
更新日期/Last Update: 2014-04-15