CAJ | 학술논문

目的探讨神经内镜在治疗颅内病变中的作用及手术适应证的选择. 方法对386例神经内镜手术治疗颅内病变患者的临床资料进行回顾性研究,并对神经内镜手术方法的选择、术后疗效及优缺点进行分析. 结果本组所有患者术后随访6～12月,临床治愈340例,症状好转40例,症状改善不明显5例,死亡1例.影像学复查颅内占位性病变285例中,全切除259例,次全切除26例,病变复发7例;脑积水101例中,脑室恢复至正常水平82例,脑室明显回缩18例,脑室回缩不明显1例. 结论示采用神经内镜治疗颅内病变,如果能严格掌握手术适应证,则疗效满意.
목적 탐토신경내경재치료로내병변중적작용급수술괄응증적선택. 방법 대386례신경내경수술치료로내병변환자적림상자료진행회고성연구,병대신경내경수술방법 적선택、술후료효급우결점진행분석. 결과 본조소유환자술후수방6～12월,림상치유340례,증상호전40례,증상개선불명현5례,사망1례.영상학복사로내점위성병변285례중,전절제259례,차전절제26례,병변복발7례;뇌적수101례중,뇌실회복지정상수평82례,뇌실명현회축18례,뇌실회축불명현1례. 결론 시채용신경내경치료로내병변,여과능엄격장악수술괄응증,칙료효만의.
Objective To investigate clinical effect and indications of neuroendoscopic surgery for treatment of intracranial diseases. Methods A total of 386 cases treated with neuroendoscopic surgeries were analyzedd retrospectively in regard to the surgical approaches, treatment outcomes, advantages and disadvantages of neuroendoscopy. Results In the 386 cases, clinical cure was achieved in 340 cases and symptomatic improvement in 40 cases; 5 cases failed to respond to the treatment, and death occurred in 1 case during the follow-up for 6-12 months. Postoperative radiography demonstrated intracranial space-occupying lesions in 285 cases, for which total resection was achieved in 259 cases and subtotal resection in 26 cases with neuroendoscopic surgery, and relapse occurred in 7 cases. Hydrocephalus occurred in 101 cases. Cerebral ventricle recovery was found in 82 cases, and in 18 cases the ventricular expansion was obviously reduced; ventricular expansion remained unchanged in 1 case after the treatment. Conclusions With careful evaluation of the surgical indications, neuroendoscopic surgeries can achieve satisfactory effects for treatment of intracranial diseases.