Indications of neuroendoscopic surgery for intracranial diseases
10.3760/cma.j.issn.1671-8925.2009.02.024
- VernacularTitle:神经内镜治疗颅内病变手术适应证探讨
- Author:
Wei SHI
1
;
Zhen-Yu GUO
;
Rui-Zhi WANG
;
Chong-Xiao LU
;
Jian-Jun SUN
;
Li-Gui GAO
;
Ren ZHOU
;
Xing-Miao LU
Author Information
1. 西安交通大学医学院附属第二医院
- Keywords:
Neuroendoscope;
Intracranial diseases;
Surgical indication
- From:
Chinese Journal of Neuromedicine
2009;8(2):191-193
- CountryChina
- Language:Chinese
-
Abstract:
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.
