Kehler U, Regelsberger J, Gliemroth J
Neurosurgical Department, University Hospital Hamburg Eppendorf, Germany.
Minim Invasive Neurosurg. 2003 Aug;46(4):205-7. doi: 10.1055/s-2003-42352.
Experience with more than 200 neuroendoscopic procedures taught us the advantages and disadvantages of the different endoscope designs. Using an endoscope with a sheath with separate channels for the endoscope, the instruments as well as for rinsing and suction we found advantages in rinsing properties, handling, and preciseness of instrument steering. On the other hand an endoscope with a sheath with a singular channel for the endoscope itself, the instruments, rinsing, and suction the advantages were better in visualization of the instruments, more available instruments, and easier extraction of larger specimen. The knowledge of these advantages makes it possible to select the adequate endoscope regarding its design, especially in more complicated cases.
200 多例神经内镜手术的经验让我们了解了不同内镜设计的优缺点。使用一种带有鞘管的内镜，该鞘管为内镜、器械以及冲洗和吸引分别设有通道，我们发现其在冲洗性能、操作以及器械操控的精确性方面具有优势。另一方面，对于一种带有鞘管的内镜，该鞘管为内镜本身、器械、冲洗和吸引设有单一通道，其优势在于器械的可视性更好、可使用的器械更多，以及更易于取出较大的标本。了解这些优势使得我们能够根据内镜的设计选择合适的内镜，尤其是在更复杂的病例中。
