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The use of rigid neuroendoscope to assist the microsurgical operations of intracranial aneurysm
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF NEUROSURGERY
- Issue:
- 1
- DOI:
- 10.3760/j.issn:1001-2346.2000.01.003
- Key Word:
- 内窥镜;显微手术;脑动脉瘤
Abstract： 目的对颅内动脉瘤的局部解剖有更全面的了解,探讨内窥镜与手术显微镜结合治疗颅内动脉瘤的可行性及其意义.方法对23例颅内动脉瘤病人,26个颅内动脉瘤应用内窥镜辅助手术显微镜进行颅内动脉瘤夹闭术.应用手术显微镜初步显露动脉瘤后,置入硬性神经内窥镜了解动脉瘤颈及周围结构的局部解剖,动脉瘤夹闭后再次用内窥镜了解夹闭情况.结果术后19例恢复良好.2例后循环动脉瘤及1例颈内-后交通动脉瘤出现暂时性动眼神经麻痹.1例前交通动脉瘤术后脑积水,另1例多发动脉瘤术后由于血管痉挛脑缺血出现右侧肢体不完全性瘫痪.术后并发症与应用神经内窥镜无关.结论应用硬性神经内窥镜辅助颅内动脉瘤显微手术,可明显增加动脉瘤及其周围结构的可视范围,使颅内动脉瘤的手术效果有明显提高.
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