Walker M L, MacDonald J, Wright L C
Division of Pediatric Neurosurgery, University of Utah, Salt Lake City 84113.
Pediatr Neurosurg. 1992;18(4):218-23. doi: 10.1159/000120665.
With the availability of better endoscopes, improved lighting and increased instrumentation, the use of ventriculoscopy and ventriculostomy in the management of hydrocephalus is becoming increasingly more common. Neurosurgeons recognized the potential for endoscopic surgery early in this century, but were frustrated in many of their attempts at treatment due to the poor quality of the instruments available. Nevertheless, much progress has been made, and the stage was set for better results with modern instrument design. This paper reviews the history of endoscopes in neurosurgery and ponders the direction these instruments will take us in the near future.
随着更好的内窥镜的出现、照明的改善以及器械的增多，脑室镜检查和脑室造瘘术在脑积水治疗中的应用越来越普遍。神经外科医生在本世纪初就认识到了内镜手术的潜力，但由于当时可用器械质量不佳，他们的许多治疗尝试都受挫了。尽管如此，还是取得了很大进展，现代器械设计为取得更好的效果奠定了基础。本文回顾了神经外科内窥镜的历史，并思考了这些器械在不久的将来将引领我们走向的方向。
