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首页> 外文期刊>Open Journal of Modern Neurosurgery >Endoscopic Skull Base Surgery in Assiut University, Single Center Early Experience
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Endoscopic Skull Base Surgery in Assiut University, Single Center Early Experience

机译：阿修特大学内窥镜颅底手术，单中心早期经验

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Background : Endoscopic transnasal skull base surgery had started long time ago in different centers around the world for excision of skull base lesions with good results and more cost effectiveness. The aim of this study is to discuss our early results in endoscopic skull base surgery and the development of the learning curve. Patients and Methods : We analyzed our experience regarding 25 patients presented to us in Neurosurgery Department, Assiut University Hospital, Assiut University, Assiut, Egypt in a period of 3 years (2015, 2016, 2017) and operated by endoscopic transnasal approach. All patients signed an informed consent. Results: With the highest percentage was pituitary adenoma 56%, pituitary apoplexy 12%, craniopharyngioma 12%, CSF rhinorrhea 12%, Planum sphenoidal meningioma 4% and suprasellar granuloma 4%. 88% of patients were operated without complications, 8% mortality rate postoperative, 12% complication rate and 76% complete improvement postoperative. Conclusion: Endoscopic skull base surgery is a safe approach to the skull base that needs a good experience, practice and good anatomical knowledge. Teamwork between a Neurosurgeon and ENT surgeon is a must for patient safety.
机译：背景：内窥镜经鼻颅底手术已于世界各地开始，用于切除颅底病变，效果良好，具有更高的成本效益。这项研究的目的是讨论我们在内窥镜颅底手术中的早期结果以及学习曲线的发展。患者和方法：我们分析了在3年内（2015年，2016年，2017年）在埃及阿西乌特市阿西乌特大学阿西乌特大学医院神经外科收治的25例患者的经验，这些患者均采用内窥镜经鼻入路手术。所有患者均签署知情同意书。结果：垂体腺瘤56％，垂体中风12％，颅咽管瘤12％，CSF鼻漏12％，蝶窦脑膜瘤4％和鞍上性肉芽肿4％的比例最高。 88％的患者手术无并发症，术后死亡率为8％，并发症发生率为12％，术后完全改善率为76％。结论：内窥镜颅底手术是一种安全的颅底手术方法，需要良好的经验，实践和良好的解剖学知识。神经外科医师和耳鼻喉外科医师之间的团队合作是患者安全的必备条件。

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