【摘 要】 目的 探讨应用神经内窥镜手术治疗颅内病变的方法及价值。 方法 回顾分析2004年10月～2006年2月应用内窥镜手术资料，选取4个病种共14例疾病种类包括垂体瘤8例、颅咽管瘤1例、桥小脑角区胆脂瘤2例、颅内蛛网膜囊肿瘤1例、交通性脑积水2例。手术方法包括单纯内窥镜手术、内窥镜辅助的显微外科手术。 结果 垂体瘤和胆脂瘤均全切除，颅咽管瘤大部分切除，随访半年至1年均未见肿瘤复发，复查CT或MRI显示囊肿腔基本闭合，脑积水的患者侧脑室有不同程度的回缩。 结论 应用神经内窥镜手术治疗颅内病变具有操作简单、疗效可靠、并发症少等优点。

    【关键词】 神经内窥镜;显微外科手术;临床应用

    Clinical practice of neuroendoscopic technique

    ZHU Cheng，GUO Zhi-tong，ZHANG Yi.(Department of Neuro-surgery，Bengbu Third People's Hospital，Anhui233000，China)

    【Abstract】 Objective To discuss a method of neuroendoscopic surgery for intracranial disease and evaluate the role of neuroendoscopy.Methods The clinical records for14patients included pituitary adenoma(8cases)，craniopharyn-giomal(1case)，CPA epider cyst(2cases)，intracranial arachnoid cysts(1case)，and communicating hydrocephalus(2cases).Those who underwent neuroendoscopy between Oct.2004and Fed.2006at our hospital have been anal-ysed.The method of operation included neuroendoscopic procedure and neuroendoscopy-assisted microneurosurgery.Results Pituitary adenoma and epider cyst were totally removed.Craniopharyngioma was mostly removed.Follow-ing-up from six months to one year ......