Fischer J, Mustafa H
Department of Neurosurgery, Landes-Nervenklinik Wagner Jauregg, Linz, Austria.
Br J Neurosurg. 1994;8(5):559-65. doi: 10.3109/02688699409002948.
An endoscopic probe has been used intraoperatively to facilitate the obliteration of cerebral aneurysms. This method has been used in 24 patients with 30 arterial aneurysms. There were 13 males and 11 females. They ranged in age from 22 to 73 years (mean age 48 years). The mean time of surgery was 7.3 days after subarachnoid haemorrhage (ranging from 2 to 24 days). In three cases there was intraoperative rupture of the aneurysm and with one patient the operation had to be abandoned because of severe brain oedema. The follow-up ranged from 12 to 48 weeks (average 31.8 weeks). The overall outcome was good in 14 cases (58.3%), eight patients (33.3%) showed moderate disability, severe disability occurred in one patient (4%) and one patient (4%) died. In all cases when the endoscope was used, there was a striking improvement in the visualisation of the anatomy of the aneurysm and surrounding structures. Furthermore, the position of the clip and the state of the vessels leading to and from the aneurysm could be easily examined.
一种内镜探头已在手术中用于促进脑动脉瘤的闭塞。该方法已应用于24例患有30个动脉瘤的患者。其中男性13例，女性11例。年龄范围为22至73岁（平均年龄48岁）。手术平均时间为蛛网膜下腔出血后7.3天（范围为2至24天）。3例术中动脉瘤破裂，1例患者因严重脑水肿而不得不放弃手术。随访时间为12至48周（平均31.8周）。总体结果良好的有14例（58.3%），8例患者（33.3%）表现为中度残疾，1例患者（4%）出现重度残疾，1例患者（4%）死亡。在所有使用内镜的病例中，动脉瘤及周围结构的解剖可视化有显著改善。此外，夹闭位置以及通向和离开动脉瘤的血管状态能够轻松检查。
