神经导航辅助下内镜微创治疗基底节区高血压脑出血的研究  

Study on the neuronavigation-assisted minimally invasive endoscopic treatment of basal ganglia hypertensive cerebral hemorrhage

作　　者：刘进[1] 王伟明[1] 苏畅 邱伟文 叶碎林[1] LIU Jin;WANG Weiming;SU Chang;QIU Weiwen;YE Suilin(Department of Neurosurgery,Lishui People's Hospital in Zhejiang Province,Lishui 323000,China)

机构地区：[1]浙江省丽水市人民医院神经外科,浙江丽水323000

出　　处：《中国现代医生》2018年第16期40-42,46,共4页China Modern Doctor

基　　金：浙江省丽水市公益性技术应用研究项目(2013JYZB49;2011JYZB01);浙江省医药卫生科技项目(2010KYB134);浙江省科技厅项目(2017C37111)

摘　　要：目的探讨神经导航辅助下内镜微创治疗基底节区高血压性脑出血的疗效。方法回顾性分析47例高血压性基底节区脑出血患者,22例行神经导航辅助下内镜微创手术,25例患者行开颅显微镜下血肿清除术。结果神经导航辅助下内镜组手术时间、术中出血量、切口长度、血肿清除率及预后显著优于开颅显微镜手术治疗组(P<0.05)。结论神经导航辅助下经额内镜微创治疗基底节区高血压脑出血能够减少手术创伤,改善预后效果。Objective To investigate the curative effect of neuronavigation-assisted endoscopic minimally invasive treatment of hypertensive intracerebral hemorrhage in basal ganglia.Methods 47 patients with hypertensive basal ganglia complicated with cerebral hemorrhage were retrospectively analyzed.22 cases of neuronavigation-assisted endoscopic minimally invasive surgery.25 patients were given craniotomy and microscopic hematoma clearance.Results The operation time,intraoperative blood loss,incision length,hematoma clearance rate and prognosis in the group of neuronavigation-assisted endoscopy were significantly better than those in the group of craniotomy and microscopic hematoma clearance(P<0.05).Conclusion The neuronavigation-assisted transfrontal endoscopic minimally invasive treatment of basal ganglia hypertensive intracerebral hemorrhage can reduce the surgical trauma and improve the prognosis.

关 键 词：高血压 脑出血 神经导航 内镜 

分 类 号：R651.12[医药卫生—外科学]