神经内镜下眶上锁孔入路治疗外伤后额叶迟发性脑内血肿的效果分析  

Endoscopic supraorbital keyhole approach to the treatment of delayed post-traumatic frontal intracerebral hematoma

作　　者：韩斌[1] 陆华[1] 葛风[1] 朱爱华[1] 徐杰[1] 

机构地区：[1]南通大学第三附属医院神经外科,无锡医学硕士研究生214041

出　　处：《医学研究生学报》2011年第10期61-63,共3页Journal of Medical Postgraduates

摘　　要：目的传统冠状开颅手术方法创伤较大,文中探讨神经内镜下眶上锁孔入路治疗外伤后单侧额叶迟发性脑内血肿效果。方法对40例患者行眶上锁孔入路,利用神经内镜直视下清除单侧外伤后额叶迟发性脑内血肿的治疗。结果术后半年对患者依照日常生活能力(activities of daily living,ADL)分级,达到Ⅰ级15例,Ⅱ级17例,Ⅲ级7例,Ⅳ级1例,Ⅴ级0例。结论外伤后额叶迟发性脑内血肿一般无活动性出血,临床使用神经内镜和眶上锁孔入路清除迟发性脑内血肿具有手术创伤小、时间短、血肿清除率高和术后恢复快的优点。Objective Considering the obvious additional damage by traditional coronary craniotomy,we investigated the effect of the endoscopic supraorbital keyhole approach to the treatment of delayed post-traumatic unilateral frontal intracerebral hematoma.Methods Forty patients were treated by the supraorbital keyhole approach for removal of post-traumatic unilateral frontal delayed intracerebral hematoma under the neural endoscope.Results Based on the results of ADL(activities of daily living) classification obtained six months after surgery,15 of the cases were identified as grade Ⅰ,17 grade Ⅱ,7 grade Ⅲ,1 grade Ⅳ,and 0 grade Ⅴ.Conclusion Generally,delayed post-traumatic frontal intracerebral hematoma does not involve active bleeding.The endoscopic supraorbital keyhole approach for removal of delayed intracerebral hematoma has advantages minimal invasiveness,short operative time,high rate of hematoma clearance,and fast recovery.

关 键 词：迟发性脑内血肿 锁孔入路 神经内镜 

分 类 号：R65[医药卫生—外科学]