神经内镜结合小骨窗治疗高血压脑出血  

Surgical treatment for hypertensive intracerebral hematoma via minicraniotomy approach assisted by neuroendoscopy

作　　者：王刚[1] 田力学[1] 吕新兵[1] 张洪兵[1] 王长江[1] 孙超[1] 

机构地区：[1]北京市通州区潞河医院神经外科,101149

出　　处：《中华神经外科杂志》2010年第9期826-828,共3页Chinese Journal of Neurosurgery

摘　　要：目的 初步探讨神经内镜结合小骨窗开颅治疗高血压脑出血的方法.方法 采用神经内镜腔外手术方式,结合小骨窗开颅清除脑内血肿治疗高血压脑出血病例24例.结果 手术时间平均65 min,19例血肿彻底清除,5例残留少量血肿,无术后再出血.随访1-10个月,依据GOS评分,恢复良好3例,轻度残疾7例,中度残疾11例,死亡3例.结论 神经内镜结合小骨窗开颅治疗高血压脑出血具有创伤小、暴露良好、止血彻底、手术时间短的优点,是一种有效的治疗手段.Objective To explore the techniques of surgical treatment for hypertensive intracerebral hematoma via minicraniotomy approach assisted by neuroendoscopy. Method The clinical data of 24patients treated surgically by external neuroendoscopic lumina operating via minicraniotomy approach for hypertensive intracerebral hematomas were retrospectively reviewed. Results The mean time of the procedure was 65 minutes. Complete evacuation of the intracerebral hematoma was achieved in 19 patients,and partial evacuation in 5. No patients recurred intracerebral hematoma. The period of follow - up for all of the patients was 1 to 10 months. According to Glasgow Outcome Scale, the results were excellent in 3patients, good in 7, fare in 11, dead in 3. Conclusions The procedure of minicraniotomy approach assisted by neuroendoscopy for treatment of hypertensive intracerebral hematoma has some advantages such as miniinvasion, time - saving, good exposure, and complete hemostasis. It is worth to be spread in clinical work.

关 键 词：内镜 高血压脑出血 小骨窗 

分 类 号：R651.1[医药卫生—外科学]