神经内镜术清除脑内血肿15例  

Neuroendoscopy in evacuation of intracerebral hematoma:A report of 15 cases

作　　者：张少军[1] 杨百春[1] 苏贺先[1] 娄飞云[1] 马骏[1] 刘长文[2] 

机构地区：[1]蚌埠医学院附属医院神经外科,安徽蚌埠233004 [2]蚌埠医学院附属医院重症监护治疗病房,安徽蚌埠233004

出　　处：《蚌埠医学院学报》2001年第5期393-394,共2页Journal of Bengbu Medical College

摘　　要：目的 :介绍应用神经内镜清除脑内血肿的经验。方法 :应用神经内镜清除 15例脑内血肿 ,总结手术指征、手术要点和疗效。选择病例具有以下特点 :病因为外伤或高血压 ;手术时间为发病后 5～ 36h ;无脑疝、深昏迷及脑中线结构移位 >1.0cm者。手术要点 :术前精确定位 ;熟悉镜像特征 ;手术原则为最大限度地清除血肿和减少出血。结果 :治愈 14例 ,1例术前即出现肾功能衰竭而死亡 ,全组未出现新的神经功能障碍 ,6例偏瘫有所恢复。结论 :应用神经内镜清除脑内血肿是一种安全、有效的微创手术 。Objective:To introduce the method of evacuating intracerebral hematomas with neuroendoscope.Methods:Fifteen cases of intracerebral hematoma were treated by neuroendoscopic surgery and the indications,effect and main techniques of the operation were analyzed.These selected patients had the following mutual characteristics:(1)the cause of intracerebral hematoma was trauma or hypertension;(2)the operation was performed 5 to 36 hours after the disease occurred;(3)no deep coma or brain hernia occurred and the middle structure of intracrany did not move or move very little(less than 1 cm).The key to the operation was as follows:(1)each lesion was precisely located prior to operation;(2)the surgeon knew the features of lesion imagines and neuroendoscopy very well;(3)the operative principle was to evacuate hematomas and avoid bleeding as far as possible.Results:After the surgery,14 cases were cured,one died of renal function failure.Conclusions:As a minimally invasive technique,neuroendoscopy is efficient and safe for the evacuation of intracerebral hemaomas.However,it is very important to strictly adyhere to the proper indications and basical operative principles.

关 键 词：颅脑损伤 神经内镜术 脑内血肿 

分 类 号：R651.15[医药卫生—外科学]