微创伤治疗脑室内血肿  

Minimally invasive treatment of intraventricular hematoma

作　　者：黄仕春[1] 贾军[1] 谢兰芬[1] 黄浩[1] 凌日鼎[1] 

机构地区：[1]广东深圳市龙岗中心医院,深圳518116

出　　处：《中国实用神经疾病杂志》2010年第9期31-32,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨微创治疗脑室内血肿的适应证。方法本文回顾性研究63例微创治疗的脑室内血肿患者资料,全部病例采用锥颅、置管、抽吸、注入尿激酶溶解、引流的方法。结果 60例血肿完全消失,脑室受压解除,3例因锥颅引流术后出现病情加重而改行开颅手术。40例恢复良好,4例死亡,6例重残,13例轻残,本文提示有选择地采用微创方法治疗脑室内血肿效果良好,较传统开颅手术创伤小。结论以脑室内血肿为主要损害特征的病人是微创伤治疗的适应证。Objective To study the indication of minimally invasive in the treatment of intraventricular hematoma. Methods Sixty-three patients with minimally invasive in the treatment of intraventricular hematoma were retrospectively studied. All patients were treated with drilling skull, putting into the ventricular drainage tubes, suction, injection of urokinase and drainage. Results Sixty cases of intraventricular hematoma completely disappeared, the intraventricular pressure released. Three cases were treated with craniotomy after drilling skull because of the condition worsened. Forty-five cases were good recovery, 4 cases were death, 6 cases were severe disability and 13 cases were mild disability. So the selective using of minimally invasive in the treatment of intraventricular hematoma can gain better results than traditional craniotomy. Conclusion The intraventricular hematoma as the main damage characteristics of patients was the indication of minimally invasive treatment.

关 键 词：微创伤 治疗 脑室内血肿 

分 类 号：R651.11[医药卫生—外科学]