3D数字外观镜是嗅觉沟脑膜瘤手术中的安全工具
Lilli Tolppola1, Anni Pohjola2, Ville Vasankari2
1Department of Neurosurgery, Helsinki University Hospital and University of Helsinki, P.O. Box 266, 00029, Helsinki, Finland. lilli.tolppola@hel.fi.
Acta neurochirurgica
|March 6, 2026
概括
数字3D外显镜为嗅觉沟脑膜瘤手术提供了显微镜的安全替代方案. 结果仍然是一致的,外视镜因较大的角移动而证明对前头骨底部访问有利.
科学领域:
- 神经外科 神经外科
- 手术技术 手术技术
- 头骨底部手术 头骨底部手术
背景情况:
- 数字3D外观镜是微神经外科手术中操作显微镜的新兴替代品.
- 外視鏡在前頭基手術中可能有優勢,原因是所需的儀器傾斜.
- 本研究评估了用于嗅觉沟脑膜瘤 (OGM) 手术的数字3D外显镜的安全性和实用性.
研究的目的:
- 评估数字3D外镜在转基因手术中的安全性和实用性.
- 为了在过渡期内比较显微镜和外显镜使用之间的外科手术结果.
- 评估使用外显镜对手术方法和仪器操纵的影响.
主要方法:
- 对22名接受转基因手术的成年患者进行回顾性队列研究 (2016-2024年).
- 一个神经外科医生使用的显微镜 (n=13) 和外显镜 (n=9) 的比较.
- 审查MRI,患者记录 (包括mRS) 和手术视频.
主要成果:
- 外镜组的瘤较大,手术前症状较多 (mRS ≥3).
- 在所有患者中实现了总体切除;类似的临床结果 (3个月的mRS 0-2).
- 外視鏡外科手術更長;外視鏡使用更多的傾斜,顯微鏡更多的水平調整.
结论:
- 在从显微镜到外显镜的过渡期间,OGMs的外科治疗结果是一致的.
- 数字3D外观镜在转基因手术中是安全的,包括大型瘤.
- 外视镜的更广泛的角度运动有利于前头骨底部的访问,促进倾斜的机动.
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