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[神经外科中的视频内镜检查]

[Video endoscopy in neurosurgery].

作者信息

Shcherbuk Iu A, Gaĭdar B V, Parfenov V E, Svistov D V, Cherebillo V Iu, Polezhaev A V, Kandyba D V

出版信息

Vestn Khir Im I I Grek. 1998;157(4):12-6.

PMID:9825430
Abstract

The authors present an analysis of their experiences with performing more than 330 video endoscopic operations on the autopsy material and in 172 patients. In 54 of these patients operations were performed for traumatic intracranial convex hematomas, in 21 for adenomas of the hypophysis, in 14--for arterial aneurysms, and 53 patients with discogenic radiculitis, spinal tumors, consequences of severe spinal traumas. In 25 patients the endoscopic videomonitoring was made during excision of the tumors, paratumorous cysts and abscesses of the brain, decompression of the optic nerve, plasty of the anterior cranial fossa fundus with closing the liquor fistulas. Intraoperative angioscopy in carotid endarterectomy was fulfilled in 5 patients. The video endoscopy was proved to result in less traumaticity of the radical surgery. It is a valuable and highly informative method giving optimum results in performing many microsurgical operations.

摘要

作者介绍了他们对330多例尸检材料及172例患者进行视频内镜手术的经验分析。其中54例患者因创伤性颅内凸面血肿接受手术,21例因垂体腺瘤,14例因动脉瘤,53例因椎间盘源性神经根炎、脊柱肿瘤、严重脊柱创伤后遗症。25例患者在切除脑肿瘤、肿瘤旁囊肿和脓肿、视神经减压、前颅窝底成形术并封闭脑脊液瘘时进行了内镜视频监测。5例患者在颈动脉内膜切除术中进行了术中血管镜检查。事实证明,视频内镜可降低根治性手术的创伤性。它是一种有价值且信息丰富的方法,在进行许多显微外科手术时能取得最佳效果。

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