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目的 :采用神经内镜治疗颅内病变 ,探索其适应症及手术技巧。方法 :应用Karl-Storz内窥镜 ,最大外径8mm ,共治疗颅内病变 44例 ,包括梗阻性脑积水 2 6例 ,脑脓肿 4例 ,颅内囊肿 5例 ,脑内血肿 9例。结果 :1例脑溢血患者死于肺部感染 ,1例松果体肿瘤患者死于肿瘤增大 ,其余获得较好效果。结论 :颅内某些病变 ,是内窥镜外科的理想适应症 ,内镜外科手术因其创伤小、恢复快等优点 ,已成为微创神经外科的发展趋势
Objective: To treat intracranial lesions by neuroendoscopy and explore its indications and surgical techniques. Methods: Karl-Storz endoscope was used. The maximal diameter was 8mm. A total of 44 intracranial lesions were treated, including 26 cases of obstructive hydrocephalus, 4 cases of brain abscess, 5 cases of intracranial cyst and 9 cases of intracerebral hematoma. Results: One patient died of pulmonary infection in one stroke and one patient died of tumor in pineal tumor. The rest achieved good results. Conclusion: Some intracranial lesions are the ideal indications for endoscopic surgery. Endoscopic surgery has become the trend of minimally invasive neurosurgery because of its advantages of less trauma and faster recovery.