Sufianov A A
Zh Vopr Neirokhir Im N N Burdenko. 2000 Oct-Dec(4):9-13; discussion 13-4.
The study was undertaken to develop and introduce low-invasive differential endoneurosurgical correction of spinal fluid circulatory disorders in tumors of the pineal area, posterior portions of the third ventricle and the posteranial fossa. The authors present their experience in surgically treating 12 patients by using endoscopy. Surgical techniques, endoscopic semiotics of tumors of the above site, metastases along the liquor pathways are described. The outcomes of this treatment are analyzed. An algorithm of surgical treatment is proposed. Certain advantages of endoscopic interventions over conventional treatments in the treatment of tumor-induced occlusive hydrocephalus justify their inclusion into a comprehensive examination and treatment of patients of this study group.
本研究旨在开发并引入低创性的差异神经外科手术,以矫正松果体区、第三脑室后部及颅后窝肿瘤引起的脑脊液循环障碍。作者介绍了他们使用内镜手术治疗12例患者的经验。描述了上述部位肿瘤的手术技术、内镜影像学表现以及沿脑脊液通路的转移情况。分析了该治疗方法的效果。提出了手术治疗方案。内镜干预在治疗肿瘤性梗阻性脑积水方面相对于传统治疗方法具有一定优势,这证明了将其纳入本研究组患者的综合检查和治疗中的合理性。