Hara Y, Tamaki N, Nakamura M, Nagashima T, Yamashita H, Takaishi Y
Department of Neurosurgery, Kobe University School of Medicine, Kobe, Japan.
J Clin Neurosci. 2001 Jul;8(4):347-50. doi: 10.1054/jocn.2000.0823.
This paper is focused on our clinical use of endoscopic ultrasonography (EUS) and angiofiber (AF) for spinal microsurgery.
EUS and AF were used in seven operations for syringomyelia and spinal tumor. We used EUS for extradural observation, and AF for extra and intra-dural, subarachnoid and intraluminal visual evaluation of the lesions.
EUS images of the spinal cord, roots and lesions were clear, providing precise evaluation of the lesion and the course of the shunt tube in real time during surgery. AF could provide clear vision of the syrinx lumen or subarachnoid space. Because these fine instruments could be advanced under the unresected laminae, sonographic and endoscopic images were obtained from beyond the extent of laminotomy, where the microscope could not reach.
Combined together, EUS and AF contributed to accurate and safe spinal surgery while minimising the laminotomy.
本文重点介绍我们在内镜超声（EUS）和血管纤维镜（AF）在脊柱显微手术中的临床应用。
EUS和AF用于7例脊髓空洞症和脊柱肿瘤手术。我们使用EUS进行硬膜外观察，使用AF进行病变的硬膜外、硬膜内、蛛网膜下腔和管腔内视觉评估。
脊髓、神经根和病变的EUS图像清晰，在手术过程中实时提供对病变和分流管走向的精确评估。AF能够清晰显示脊髓空洞腔或蛛网膜下腔。由于这些精细器械可在未切除的椎板下推进，因此可在椎板切除术范围之外获得超声和内镜图像，而这是显微镜无法到达的区域。
EUS和AF联合使用有助于实现准确、安全的脊柱手术，同时尽量减少椎板切除术。
