自制可卷曲透明工作通道在内镜颅内血肿清除术中的应用  

Application of Self-made Flexible Transparent Endoscopic Working Passage in Endoscopic Evacuation of Intracranial Hematoma

作　　者：罗明[1] 闵强[1] 陈晓斌[1] 段发亮[1] 吴京雷[1] 杨国平[1] 

机构地区：[1]武汉市第一医院神经外科,武汉430022

出　　处：《华中科技大学学报（医学版）》2015年第5期595-597,共3页Acta Medicinae Universitatis Scientiae et Technologiae Huazhong

摘　　要：目的探讨自制可卷曲透明工作通道在导航指引下内镜血肿清除术中的应用价值。方法回顾性分析2014年期间22例内镜颅内血肿清除术的临床资料,其中基底节出血15例,脑皮层出血5例,额叶挫伤伴血肿形成2例,利用自制可卷曲内镜工作通道在导航指引下完成手术。结果手术耗时65~100min,平均95min。残余血肿体积〈10%12例,10%~30%8例,〉30%1例。术后并发肺部感染5例,颅内感染死亡1例。存活患者6个月随访GOS评分：恢复良好7例,轻度残疾9例,重度残疾3例,植物生存2例。结论自制可卷曲内镜工作通道可以配合神经导航进行准确穿刺,并为内镜提供一个清晰、稳定的操作空间。Objective To explore the application of the self-made flexible endoscopic working passage to the endoscopic evacuation of hematoma under navigation guidance.Methods Clinical data of 22 cases of endoscopic evacuation of intracranial hematoma during 2014 were analyzed retrospectively.There were 15 cases of basal ganglia hemorrhage,5 cases of cerebral hemorrhage,and 2cases of frontal lobe contusion with hematoma formation.Self-made flexible endoscopic work passage under the navigation guidance was used in all the cases to complete the operation.Results The operation time lasted 65-100 min,with an average of 95 min.The residual hematoma volume was less than 10% in 12 cases,10%-30% in 8 cases,and more than 30% in 1 case.Postoperative pulmonary infection occurred in 5 cases,and death due to intracranial infection in 1 case.The surviving patients were followed up for 6 months.According to the GOS score,7 patients recovered well,9 had mild disability,3 had severe disability,and 2 suffered vegetative state.Conclusion The self-made flexible endoscopic working passage under nerve navigation facilitates accurate puncture,and it provides a clear and stable operation space for the endoscope.

关 键 词：神经内镜 神经导航 颅内血肿清除术 内镜工作通道 

分 类 号：R651.156[医药卫生—外科学]