Hellwig D, Bauer B L, List-Hellwig E
Department of Neurosurgery, Philipps University Marburg, Federal Republic of Germany.
Acta Neurochir Suppl. 1995;64:59-63. doi: 10.1007/978-3-7091-9419-5_13.
Stereotactic endoscopic techniques are extremely helpful in diagnosis and therapy of cystic intracerebral space occupying lesions. Acute space occupying lesions can be managed effectively and without major tissue traumatization. Up to now we have operated on more than 70 cystic intracerebral space occupying lesions with a stereotactic endoscopic technique. The main diagnoses were colloid cysts, cystic craniopharyngeoma, arachnoidal and pineal cysts. In must be stressed that in cystic anaplastic astrocytomas and glioblastomas as well as metastases only an acute inner cerebral decompression can be achieved by neuroendoscopic techniques in combination with the application of reservoir systems. In benign parenchymal or intraventricular cysts neuroendoscopic intervention is performed for definitive treatment. The results are overall encouraging. There was no operative mortality and operative morbidity was below 3%. Postoperative follow-up in patients with benign cysts showed no evidence of recurrence.
立体定向内镜技术在颅内囊性占位性病变的诊断和治疗中极为有用。急性占位性病变能够得到有效处理，且不会造成严重的组织创伤。截至目前，我们已运用立体定向内镜技术对70余例颅内囊性占位性病变进行了手术。主要诊断包括胶样囊肿、囊性颅咽管瘤、蛛网膜囊肿和松果体囊肿。必须强调的是，对于囊性间变性星形细胞瘤、胶质母细胞瘤以及转移瘤，神经内镜技术结合储液系统的应用仅能实现急性脑内减压。对于良性实质性或脑室内囊肿，神经内镜干预用于确定性治疗。总体结果令人鼓舞。无手术死亡病例，手术并发症发生率低于3%。良性囊肿患者的术后随访未发现复发迹象。
