神经内镜在脑室内出血铸型治疗的研究  

Study on Surgical Treatment with Neuroendoscope for Intraventrieular Hemorrhage

作　　者：凌峻[1] 刘鹏[1] 邱传珍[1] 杨少春[1] 邹连生[1] 刘德华[1] 

机构地区：[1]赣南医学院第一附属医院神经外科,江西赣州341000

出　　处：《赣南医学院学报》2016年第6期904-906,共3页JOURNAL OF GANNAN MEDICAL UNIVERSITY

摘　　要：目的:探讨神经内镜治疗脑室内出血铸型的疗效。方法:在积极治疗原发病灶的同时,根据脑室出血铸型的情况选择应用神经内镜微创清除脑室内血肿,并结合尿激酶脑室内灌注溶解治疗脑室内出血铸型患者12例。结果:本组患者侧脑室、第三脑室内血肿术中均大部分清除,平均手术时间70 min,恢复至清醒时间平均7 d。术后随访3个月,对患者进行GOS评分,V级5例、Ⅳ级4例、Ⅲ级1例、Ⅱ级2例,无1例死亡。结论:应用神经内镜清除脑室内铸型血肿,具有直视下操作、微创,手术效果好等优点,是一种安全有效的外科治疗方法。Objective： To investigate the efficacy of treatment with neuroendoscope in the massive intraventricular hemorrhage. Methods： Twelve cases of massive intraventficular hemorrhage were treated with neuroendoscope plus urokinase therapy. Results： In the twelve cases treated with neuroendoscope,most of the hematomas in the lateral and third ventricles were cleared with all average operating time of 70 mins and mean consciousness recovery time of 7 days. All the patients were followed up for three months,and the prognosis evaluated by Glasgow outcome scale（ GOS） showed that the result was excellent in five cases,good in four cases,fair in three cases,and no dead. Conclusion： Neuroendoscopic neurosurgery for massive intraventricular hemorrhage allows better operative field exposure,minimal invasiveness,and excellent postoperative outcomes of the patients. It may serve as a safe and effective surgical approach.

关 键 词：神经內镜 脑室出血铸型 微创手术 尿激酶 

分 类 号：R743.34[医药卫生—神经病学与精神病学]