神经内镜经额锁孔入路双侧额叶挫裂伤的手术治疗效果  

Surgical treatment of bilateral frontal lobe contusion by neuroendoscopy through frontal keyhole approach

作　　者：翟效甫 唐勇 王子钰 樊友武 黄磊 赵国东 ZHAI Xiaofu;TANG Yong;WANG Ziyu;FAN Youwu;HUANG Lei;ZHAO Guodong(Department of Neurosurgery,Lianshui People's Hospital of Kangda College Affiliated to Nanjing Medical University,Huai'an 223499,China;不详)

机构地区：[1]南京医科大学康达学院附属涟水人民医院神经外科,淮安223499 [2]南京医科大学康达学院附属涟水人民医院重症监护室,淮安223499 [3]南京医科大学康达学院附属涟水人民医院甲乳外科,淮安223499 [4]南京医科大学附属南京医院(南京市第一医院) [5]徐州医科大学附属淮安医院危重症医学科

出　　处：《临床神经外科杂志》2025年第1期79-81,87,共4页Journal of Clinical Neurosurgery

基　　金：南京市卫生科技发展专项资金项目(YKK21132)。

摘　　要：目的探讨神经内镜下经额锁孔入路对双侧额叶挫裂伤手术治疗效果。方法回顾性分析2020年1月—2023年6月涟水人民医院收治的19例双侧额叶挫裂伤手术患者,均行神经内镜下锁孔入路清除挫裂伤组织及血肿,所有患者术后随访至少6个月,观察并记录患者的术后恢复情况。结果术后复查头颅计算机断层扫描(CT)均提示颅内血肿清除满意,无新发出血。格拉斯哥预后量表(GOS)评分5分11例,4分5例,3分3例。结论神经内镜下锁孔入路可在尽可能小的切口下有效清除双侧额叶挫裂伤及颅内血肿,减小患者损伤,促进患者快速康复。Objective To investigate the effect of neuroendoscopic transfrontal keyhole approach on bilateral frontal lobe contusion.Methods A total of 19 patients with bilateral frontal lobe contusion surgery admitted to Lianshui People's Hospital from January 2020 to June 2023 were analyzed retrospectively.All patients underwent endoscopic keyhole approach to remove the contusion tissue and hematoma.All patients were followed up for at least 6 months after surgery,and their postoperative recovery was observed and recorded.Results Postoperative computed tomography(CT)examination showed that the removal of intracranial hematoma was satisfactory and no rebleeding.Glasgow outcome scale(GOS)score was 5 in 11 cases,4 in 5 cases and 3 in 3 cases.Conclusions Endoscopic keyhole approach can effectively remove bilateral frontal lobe contusion and intracranial hematoma with the smallest incision possible,reduce the injury of patients,and promote rapid recovery of patients.

关 键 词：颅脑损伤 锁孔 脑挫裂伤 神经内镜 

分 类 号：R651[医药卫生—外科学]