摘要：

内镜颅底外科起步于 20 世纪 90 年代，近 20 年迅速发展，范围涉及自前颅底至颅颈交界区和颈静脉孔区的各个颅底区域，包括某些颅内外沟通性病变和硬膜内病变，使颅底肿瘤全切除率和颅底重建成功率进一步提高。同时， “双人四手”操作和低温等离子刀技术的应用使内镜手术处理复杂颅底病变成为可能；手术导航系统的应用也有助于安全、彻底清除颅底病变。 

关键词: 内窥镜, 颅底, 外科手术, 综述

Abstract:

Endoscopic skull base surgery started from 1990s, and has undergone fast development in the past 20 years. It has involved various skull base regions from the anterior skull base to the craniovertebral junction (CVJ) and jugular foramen, including intra- and extra-cranial communicating lesions and intradural lesions, and further improved total section rate of skull base neoplasms and success rate of skull base reconstruction. At the moment, the improvement in surgical techniques, like "two-surgeon, four-hand" technique and use of radiofrequency coblation has rendered endoscopic procedures capable of managing complex pathologies. Intraoperative neuronavigation systems contribute to safe and complete removal of skull base tumors.

Key words: Endoscopes, Skull base, Surgical procedures, operative, Review