摘要：

神经外科颅底手术涉及的解剖结构复杂，病种多样。随着内镜技术的成熟和完善、3D技术和神经导航等影像学技术的进步以及颅底重建材料和理念的更新，神经外科颅底手术有了较大发展和飞跃。本文从颅底病变疾病谱、外科治疗方案、影像学及颅底重建等角度总结神经外科颅底手术的进展，强调多学科诊疗模式的重要性。

关键词: 脑疾病, 颅底, 神经外科手术, 显微外科手术, 神经内窥镜, 综述

Abstract:

The skull base surgery involves a complex of anatomic structures and disease spectrums. The endoscopic surgery techniques have been revolutionizing, following the imaging evolvement including 3D techniques and neurosurgical navigation as well as the material and theoretical innovation of skull base reconstruction, which made the skull base surgery achieving a giant leap. We herein review and analyze the development of skull base surgery in terms of disease spectrum, surgical plan, imaging and skull base reconstruction. Multi-disciplinary team (MDT) of skull base diseases should be emphasized.

Key words: Brain diseases, Skull base, Neurosurgical procedures, Microsurgery, Neuroendoscopes, Review