保健 - 第91期 - page 77

綜合報導
75
ᝍֵఱ࿴ϓəவԬʞ֜߅ኜ֜ٙ¨˂ ڀ ؐ©fᝍֵ
৷Эʔ̻d͉Ԓπί଺εٙˆ൓dՉʕԐБഹ஢ε
ࠠ ࠅ ٙА၍ձग़຾ഐ࿴d΂ОՉʕɓ˕ฦෆேึி
ϓᘌࠠٙዚঐღᖟ ޟ Їϥɳdᝍֵ̮݊߅˓ஔ௰ᗭ
Ց༺eࠬᎈ௰ɽٙਜਹʘɓf
˸ֻdᝍֵ໕ᆯٙ˓ஔ൳ਂ൳ɽdʔ̙ᒒеήኬ ߧ
௴ෆɽdࠬᎈ৷dઃ٫̌ঐձ ߕ ᝈաՑ ܘ ɽॎᕸd
ШԨӚঐ౤৷ઃ٫ٙ͛πࣛගձ͛ ݺ ۜሯfϾlzᗝ
຾ᄀɝ༩ᝍֵ̮߅༰ෂ୕ٙ˓ஔ˙ ج һՈᎴැd݊
͊Ըᝍֵ̮߅೯್࢝ٙ̀ᒈැd̙ፗ¨ ݸ ᒱʃd৻
տɗɽ©f
ੵወஉ˴΂༆ᙑႭdᄀഢ݊˂್ٙഢ༸d͟׵ᄀഢ
༰ʃϾ˲lz௅ᄀ͠ʔ஝ ۆ ഐ࿴ٙᅂᚤdෂ୕˙ ج ც
ࠅ મ͜ᅟකኜਗ਼ᄀʕཞ৶ұԨᅟකdᜑฆᗝɨʑঐ
ආБ˓ஔ዁Ъd͟Ϥிϓٙ௴ෆ༰ɽdԨ˲ஔ ܝ ც
ࠅ ᕐਉᄀഢ෬෦˟Аdषɛ̥ঐ຾ɹഢխіdชᙂ
ʔቇf נ ৰ෬෦ ي ࣛᒔ࢙׸ˏৎᄀഢΎ̈АdჃಂ
ᒔ຾੬ึ̈ତᄀʕཞ߈ˆeᄀഢช ݑ ձῡᇫൂᐵഃ
Ի೯सfϾग़຾lzᗝٙቾɢձᎴැί׵ঐл͜ᄀഢ
ٙ˂್ஷ༸d೓ν௡Յί˥ʕဘ༷dන࿫І್ήՑ
༺˓ஔਜਹආБ˓ஔd௰ɽ೻ ܓ ᒒеə࿁׵ᄀഢlz
ഐ࿴ٙᙝᓔfषɛஔ ܝ ٙʔബቇ ܓ ɽ މ ಯჀd ܨ ూ
ࣛගһ೵dॆ͍ྼତəฆ௴f
ग़຾lzᗝ݊ତ˾߅Ҧ੭ഗग़຾̮߅ᔼ͛ٙɓᕐ¨ᅆ
଻©f˸ۧ᜗ᆯ˓ஔ މ Էdੵወஉ˴΂ආɓӉ༆ᙑ
Ⴍdෂ୕ᜑฆᗝ຾ᄀሁආБۧ᜗ᆯ˓ஔࣛdՉ๫׼
ࡡଣӔ֛əՉ̥ঐ¨ཞ֦ᐝૐ©dπί஢εᝈ࿀ٙ
ϥԉd˓ஔһεԱ፠ᔼ͛ٙ˓ชfϾग़຾lzᗝ͟׵
̙˸¨ଉɝᅮ ܝ ©ٜટᝈ࿀˓ஔਜਹd̋ɪՉዹϞ
ٙᗳЧ¨፟଻©ٙᄿԉൖ௉dԴ໕ᆯतᅄᜄ૩ଭ
ତdᒯᔛίԉໝ㛪ٙ໕ᆯɰࡡҖଭᚣd੽Ͼڭ ᗇə
໕ᆯʲৰٙ࿏ֵeฆ௴ձτΌf
內鏡導航微創技術大顯身手
ग़຾lzᗝٙ̈ତ˸ʿग़຾lzᗝҦஔٙϓᆞdᒔ੭Ը
əࠧն׌ٙᝈׂҷᜊfɓԬ̶ɽ ڧ ᛕ׌ٙۧ᜗ᆯe
˸ʿՉ˼Σቧɪeɧ໘܃೯࢝ٙ໕ᆯνᝍۚ၍ᆯe
ቧਜ໘ᇫᆯഃdֻ̥݅ঐකᝍ˓ஔdତί̙˸л͜
ग़຾lzᗝҦஔ຾ᄀሁආБ˓ஔdᒒеəකᝍ˓ஔٙ
ࠬᎈdᐵ೵əஔ ܝ И৫ܨ ూࣛගdಯჀəઃ٫ٙ຾
᏶ࠋ ዄf
ኽʧୗd຾ᄀlzᗝኬঘɨਉᝍֵਜਹٙ˓ஔ݊ͦۃ
˰ ޢ ɪ฽ࡈ йᔼ৫Ϟঐɢක࢝ٙ˓ஔdණʕ࢝ତə
lzᗝኬঘฆ௴ग़຾̮߅ٙอҦஔձଣׂfూ͇ɽኪ
᙮ڝʕʆᔼ৫ग़຾lzᗝྠඟ݊ɪऎක࢝ग़຾lzᗝኬ
ঘ˓ஔ၇ᗳձᅰඎ௰εٙྠඟdग़຾lzᗝኬঘҦஔ
ʊ຾ձ਷ყટ ࠐ fஷཀʔ኶ٙрɢd༈ྠඟί਷lz
ʊϓ̌෬໾əመνग़຾lzᗝ຾ᄀሁቧɪɧ໘܃ᝍ
ۚ၍ᆯʲৰe኉ً߉ʲৰഃεධग़຾lzᗝ˓ஔٙ٤
ͣdϾ͉Է˓ஔٙϓ̌ᅺႦഹ༈ྠඟίग़຾lzᗝฆ
௴̮߅ჯਹ༺Ց਷ყ΋ආ˥๟f ڐ ϋԸూ͇ɽኪڝ
᙮ʕʆᔼ৫ग़຾̮߅ձూ͇ɽኪᅰοᔼᐕ޼Ӻʕː
ഃ޴ᗫኪ߅ᑌΥଡ଼ᔌҸᗫdਗ਼lzᗝኬঘҦஔપΣə
อٙ৷ ܓ dԴ੻ూ͇ɽኪϓ މ ਷ყɪϞᅂᚤٙlzᗝ
ኬঘҦஔ޼Ӻձ༶͜ʕːf
“Minimal” Surgery for “Maximal Exposure” of the Base of Skull
Mdm Wang had a 6-cm trigeminal neurilemoma below her brain, on the Meckel’s cave in her cranial fossa, infiltrating the petrous
bone of the base of skull, compressing the brain stem and close to the cavernous sinus / carotid artery. Dr Zhang XiaoBiao, Head
Neurosurgeon of the Zhong Shan Hospital attached to the Fudan University, had the novel endoscopic transnasal approach through the
nostrils achieving a panoramic view enabling complete resections. She was up and about the next day! Dr Zhang opined the traditional
craniotomy approach required large, deforming scalp incisions; even for those much less extensive ones, the classical transnasal
approach employed a microscope with a narrow visibility. But, the novel approach has microinstruments for minimally invasive surgery
to resect large benign intra-cranial tumors, e.g., large infiltrating pituitary tumors, and others that infiltrate towards the suprasellar
region (above the pituitary), the third ventricle of the brain, e.g., craniopharyngiomas, sellar meningiomas, and even odontoid
resections, etc. – all may now use the novel approach.