【摘要】 目的 探讨神经内镜辅助锁孔手术治疗颅内动脉瘤的可行性及其意义。 方法 对9例前循环动脉瘤病人，应用内窥镜辅助锁孔手术进行颅内动脉瘤夹闭术。经翼点锁孔开颅后，应用手术显微镜初步显露动脉瘤后，置入硬性神经内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镜了解夹闭情况。 结果 术后9例全部治愈出院。 结论 应用神经内镜辅助锁孔开颅进行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明显提高，手术时间缩短，术后病人恢复快，且不影响美容。更多还原

【Abstract】 Objective To enhance visual confirmation of reginal anatomy and discuss the feasibility and the role of neuroendoscope which was used to asisst the keyhole approach in the treatment of intracranial aneurysm． Method The neuroendoscope was used to assist the keyhole operation to treat the anterior circulated aneurysms in 9 patients． After initial exposure with the aid of a microscope,the rigid endoscope was introduced to confirm the reginal anatomy,including the aneurysm neck and adjacent stuctures． After cliping,the positions of the clip and nearby stuctures were inspected by using the neuroendoscope． Result After operation,9 cases were recovered without any severe complication． Conclusion In all cases when the endoscope was used,there was a striking improvement in the visualisation of the anatomy of the aneurysms and surrounding structures． Furthermore,the position of the clip and the state of the vessels leading to and from the aneurysm could be easily examined,therefore,the operative effect could be improved greatly． The time in operation and hospital was shorten,and the cosmetic effect was excellent．更多还原