Sears William R, Francis Ian C
Department of Neurosurgery, Dalcross Private and Royal North Shore Hospitals, Sydney, Australia.
J Spinal Disord Tech. 2004 Feb;17(1):41-3. doi: 10.1097/00024720-200402000-00009.
In this retrospective cohort study, we examined the safety, efficacy, and benefits of utilizing the readily available ophthalmic phacoemulsification instrument for the surgery of seven intramedullary spinal cord tumors. Historically, the conventional neurosurgical ultrasonic aspirator was an adaptation of the original Cavitron Phaco-Emulsifier aspirator used in cataract surgery. The ophthalmic instrument has a 1.0-mm internal diameter operating tip. This is much smaller and provides improved visualization and surgical control when compared with the conventional neurosurgical instrument, which has a tip diameter of 3-4 mm. A satisfactory surgical and clinical outcome was achieved in all seven patients with safe and substantial subtotal excision of their tumors. We found the ophthalmic instrument provided excellent visualization and precision in operating on cases of intramedullary spinal cord tumor.
在这项回顾性队列研究中，我们研究了使用现成的眼科超声乳化仪对7例脊髓髓内肿瘤进行手术的安全性、有效性和益处。从历史上看，传统的神经外科超声吸引器是对白内障手术中使用的原始Cavitron超声乳化吸引器的改良。该眼科仪器的操作尖端内径为1.0毫米。与尖端直径为3 - 4毫米的传统神经外科仪器相比，它要小得多，并且能提供更好的视野和手术控制。所有7例患者均实现了满意的手术和临床结果，肿瘤安全且大部分被次全切除。我们发现该眼科仪器在脊髓髓内肿瘤手术中提供了出色的视野和精确性。
