摘要
目的探讨观察镜联合脑室镜治疗高血压脑室铸型出血的疗效。方法选择广东省惠州市中心医院神经外科自2005年6月至2008年6月收治的74例高血压脑室铸型出血患者．分为实验组（34例）及对照组（40例），实验组患者实施观察镜联合脑室镜治疗，对照组实施传统的脑室外引流＋尿激酶纤溶治疗，分析比较两组患者的预后。结果实验组患者侧脑室、第三脑室内血肿术中均大部分清除，平均手术时间50min，恢复至清醒时间平均7d。术后随访6个月，实验组患者的日常生活能力量表（ADL）评级达到Ⅰ级15例，Ⅱ级12例，Ⅲ级5例，Ⅳ级1例，Ⅴ级1例；而对照组患者Ⅰ级9例，Ⅱ级10例，Ⅲ级12例，Ⅳ级6例，Ⅴ级3例，比较差异具有统计学意义（P〈0．0S）。结论观察镜联合脑室镜治疗高血压脑室铸型出血可解决传统治疗方法中难以避免及解决的问题，具有可直视操作、微创、恢复快等优势，是一种安全、有效的治疗方法，可以明显改善患者的预后。
Objective To investigate the application of ventriculoscope combined with sight glass in the treatment of hypertensive cerebral intraventricular hemorrhage. Methods Between June, 2005 and June, 2008, 34 patients with hypertensive cerebral intraventricular hemorrhage received treatment with ventriculoscope combined with sight glass, and another 40 patients were treated with routine external ventricular drainage plus urokinase therapy. The clinical outcomes of the patients in the two groups were comparatively analyzed. Results In the 34 cases treated with ventriculoscope combined with sight glass, most of the hematomas in the lateral and third ventricles were cleared with an average operating time of 50 rain and mean consciousness recovery time of 7 days. All the patients were followed up for 6 months, and the prognosis evaluated by activity of daily living （ADL） scale showed significant difference between the two groups （P〈0.05）. Conclusion Ventriculoscope combined with sight glass for treatment of hypertensive cerebral intraventricular hemorrhage allows better operative field exposure, minimal invasiveness, and rapid recovery of the patients, and may serve as a safe and effective surgical approach for improving the prognosis of the patients.
出处
《中华神经医学杂志》
CAS
CSCD
北大核心
2009年第5期505-508,512,共5页
Chinese Journal of Neuromedicine
关键词
观察镜
脑室镜
脑室铸型
高血压
Sight glass
Ventriculoscope
lntraventricular hemorrhage
Hypertension
