外视镜在矢状窦旁脑膜瘤手术中的应用

陈勇; 郑新; 张晓青; 李松; 杨辉

doi:10.16016/j.2097-0927.202311021

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外视镜在矢状窦旁脑膜瘤手术中的应用

临床医学 | 更新时间：2026-01-09

- 外视镜在矢状窦旁脑膜瘤手术中的应用
- Application of exoscope for resection of parasagittal meningioma
- 陆军军医大学学报 2024年46卷第16期页码：1906-1912
- 作者机构：
  
  400037 重庆，陆军军医大学(第三军医大学)第二附属医院神经外科
- 作者简介：
  
  [ 李松，E-mail: dlisong3@163.com LI Song, E-mail: eedlisong3@163.com
- 基金信息：
- DOI：10.16016/j.2097-0927.202311021
  中图分类号： R181.23;R616.2;R739.45
- 收稿：2023-11-06，
  
  修回：2024-02-21，
  
  纸质出版：2024-08-30
- 稿件说明：
移动端阅览
陈勇, 郑新, 张晓青, 等. 外视镜在矢状窦旁脑膜瘤手术中的应用[J]. 陆军军医大学学报, 2024,46(16):1906-1912.

Yong CHEN, Xin ZHENG, Xiaoqing ZHANG, et al. Application of exoscope for resection of parasagittal meningioma[J]. Journal of Army Medical University, 2024, 46(16): 1906-1912.
陈勇, 郑新, 张晓青, 等. 外视镜在矢状窦旁脑膜瘤手术中的应用[J]. 陆军军医大学学报, 2024,46(16):1906-1912. DOI： 10.16016/j.2097-0927.202311021.

Yong CHEN, Xin ZHENG, Xiaoqing ZHANG, et al. Application of exoscope for resection of parasagittal meningioma[J]. Journal of Army Medical University, 2024, 46(16): 1906-1912. DOI： 10.16016/j.2097-0927.202311021.

摘要

目的

探讨外视镜在矢状窦旁脑膜瘤手术中的应用效果。

方法

回顾性分析2021年3月至2023年3月于本院神经外科同一医疗组接受手术的矢状窦旁脑膜瘤患者50例的临床资料，根据手术方式分为外视镜组(22例)和显微镜组(28例)，对比分析2组患者手术效果、手术并发症以及术者体验。

结果

外视镜组与显微镜组患者性别(男/女：10/12

12/16)、年龄[(50.7±10.2)

(52.3±11.1)岁

]

、肿瘤大小[(20.79±25.04)

(20.60±21.38)cm

]

均相似；2组手术时间[(217.73±59.66)

(220.54±56.82)min

]

、术中出血量[(181.82±105.27)

(189.29±103.06)mL

]

、肿瘤全切率(90.9%

89.3%)差异无统计学意义。术后神经功能障碍、感染率等并发症方面差异也无统计学意义。外视镜在矢状窦旁脑膜瘤手术中能显示显微镜难以观察到的矢状窦旁硬膜缘下等大角度区域。外视镜系统下操作的舒适度优于显微镜，术中教学展示较显微镜更好。

结论

外视镜下切除矢状窦旁脑膜瘤安全有效，具有舒适的人体工程学姿势、良好的手术团队参与度、优秀的教学效果等优势，值得推广应用。

Abstract

Objective

To investigate the application of exoscope in resection of parasagittal meningioma.

Methods

A retrospective analysis was conducted on 50 patients with parasagittal meningioma undergoing surgical treatment in a same medical group of our neurosurgical department from March 2021 to

March 2023. According to their surgical procedures

they were divided into exoscope group (

=22) and microscope group (

=28). The surgical efficacy

surgical complications and surgical experience were compared between the 2 groups and analyzed.

Results

There were no significant differences between the 2 groups in terms of sex ratio (male/female: 10/12

12/16)

mean age (50.7±10.2

52.3±11.1 years) and mean tumor size (20.79±25.04

20.60±21.38 cm

). No statistical differences were observed in the duration of operation (217.73±59.66

220.54±56.82 min)

intraoperative blood loss (181.82±105.27

189.29±103.06 mL)

or total resection rate (90.9%

89.3%) between the 2 groups. Postoperative neurological dysfunction

infection rate and other complications also presented no notable differences between them. In the operation of parasagittal meningioma

exoscope can provide a larger view of the parasagittal sinus

such as the subdural border

which is difficult to be exposed by single microscope. Moreover

exoscope presented a higher level of comfort operating and better intraoperative teaching display compared to the surgical microscope.

Conclusion

For parasagittal meningiomas

exoscope is a safe and effective option

with similar surgical outcomes and postoperative complications as surgical microscope. What's more

exoscope presents more comfortable intraoperative ergonomic posture

higher surgical team participation

and better teaching effect.

关键词

Keywords

references

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