治疗高血压脑出血破入脑室微创术式的临床研究  

Clinical study of two miniinvasive operations on treatment of secondary ventricular hemorrhage

作　　者：吕正文[1] 宁波[1] 张明然[1] 刘正清[2] 

机构地区：[1]泰山医学院附属泰山医院,山东泰安271000 [2]喀什地区第一人民医院,新疆喀什844000

出　　处：《泰山医学院学报》2010年第11期828-830,共3页Journal of Taishan Medical College

摘　　要：目的比较应用脑室镜辅助微创开颅与小骨窗开颅清除血肿两种手术方法治疗高血压脑出血破入脑室的疗效。方法对25例高血压脑出血破入脑室患者采用脑室镜辅助微创开颅手术方法清除血肿,将以往小骨窗开颅清除血肿的高血压脑出血破入脑室病人25例作为对照组,比较2种手术的操作优缺点和术后疗效。结果 25例应用脑室镜微创开颅清除血肿的患者中术后死亡3例,病死率12.0%;术后6月ADL评分:Ⅰ级4例,Ⅱ级9例,Ⅲ级5例,Ⅳ级3例,Ⅴ级4例;术后2天血肿清除率和术后3天脑室通畅率均优于对照组。结论应用脑室镜辅助的手术方法具有脑组织再损伤小,血肿清除彻底,术中视野清晰,术后并发症少等优点,是一种治疗高血压脑出血破入脑室安全有效的治疗方法。Objective： To compare the outcome of two miniinvasive operations on the treatment of hypertensive intraventricular hemorrhage Methods： 25 patients with hypertensive intraventricular hemorrhage of the treat group were treated by neuroendoscopy assisted operations.Other 25 patients with the same disease of the control group were treated by non-neuroendoscopy-assisted operations.Complications and outcomes of the two groups were analized and compaired.Results： The two groups were compared 2 days,3 days and six months after operation.The rate of clearance of hemotoma,ventricle unobstructed rate and ADL scale of the treatment group was higher than that of the control group,and the rates of hydrocephalus and complications of treatment group were lower than those of the control group.Conclusion： Neuroendoscopy assisted operation is effective and safe in treating patients with hypertensive intraventricular hemorrhage for less brain damage,faster hemorrhage clearance,better operation viewsight and less complications compared with non-neuroendoscopy assisted operation.

关 键 词：高血压脑室出血 脑室镜 微创 

分 类 号：R651.1[医药卫生—外科学]