Carter L P
Section of Neurosurgery, University of Arizona Medical Center, Tucson.
J Neurosurg. 1992 Jan;76(1):156-8. doi: 10.3171/jns.1992.76.1.0156.
The use of the operating microscope has revolutionized the surgical approach to many neurosurgical diseases. The microscope has provided magnification, binocular vision, and excellent lighting in the depths of neurosurgical wounds, allowing the performance of exceedingly delicate procedures that were previously impossible. Occasionally, an operative approach demands microscopic bone dissection. Instrumentation has been developed for working with soft tissue, but special instruments for osseous dissection have not been available. A set of newly developed punches and curettes with a bayonetted offset is described. These keep the surgeon's hand out of the operating field and allow unimpeded visualization through the operating microscope. These prototype instruments have been used successfully in over 100 microscopic neurosurgical procedures.
手术显微镜的使用彻底改变了许多神经外科疾病的手术方法。显微镜在神经外科伤口深处提供了放大、双目视觉和极佳的照明，使得以前无法进行的极其精细的手术得以实施。偶尔，手术入路需要进行显微骨解剖。用于软组织操作的器械已经得到了发展，但用于骨解剖的特殊器械却尚未出现。本文介绍了一组新开发的带有刺刀式偏移的冲头和刮匙。这些器械使外科医生的手远离术野，并能通过手术显微镜实现无阻碍的视野。这些原型器械已成功应用于100多例显微神经外科手术中。
