神经内镜（Neuroendoscope）.docVIP

神经内镜（Neuroendoscope） Clinical application of neuroendoscope 1. endoscopic surgery classification For clinical applications, endoscopic surgery can be divided into two broad categories, namely, water (cerebrospinal fluid) environment, endoscopic surgery, and air environment endoscopic surgery. Water environment (CSF) is the application of endoscopic surgery, endoscopic sheath and sheath endoscope and instruments by intrathecal operation, endoscopic instruments and coaxial parallel operation in the area of intraventricular or cerebrospinal fluid cyst cavity is ventriculocisternal endoscopic surgery category. Air environment endoscopic surgery, that is, applied observation endoscope and special mirror external operating instruments, instruments outside the mirror operation, the instrument and the endoscope separate into the corner, the operation area mostly in the skull base, belongs to the endoscopic skull base surgery category. 2. endoscopic cerebral ventricular surgery 2.1, endoscopic three ventricular floor fistula (NTV) for hydrocephalus Since the early 80s of last century, endoscopic surgery has been revived in its true sense of minimally invasive and effective. One of the most important applications is the treatment of hydrocephalus. The most common technique is the third ventricle gastrostomy. Endoscopic choice: the resolution of the rigid mirror is superior to that of the fiberoptic endoscope (soft mirror). Soft lens due to the use of fiber optic technology and the price is more expensive, but it can reach all parts of the ventricular system, so it is easy to get lost, but can only reach the hard lens structure and insertion direction consistent, position and projection angle can reach in the ventricle has certain restriction. The diameter of the hard mirror is larger than that of the soft mirror, so the equipment in the inner mirror is more convenient to operate than the soft mirror. Three ventricular fistulas are usually performed with rigid lenses. Preopera