摘要
目的 探讨球囊辅助的脑造通器联合神经内镜在治疗高血压基底节区脑出血手术中的应用.方法 应用球囊辅助的脑造通器联合神经内镜手术清除20例高血压基底节区脑出血,观察血肿清除率、再出血率、死亡率及Glasgow结果（GOS）预后评分.结果 内镜下血肿完全清除者10例,近全、次全清除或大部分清除10例,内镜下血肿清除率为93％；无再出血病例；死亡率为5％；随访6个月,GOS评分Ⅴ级9例、Ⅳ级6例、Ⅲ级3例、Ⅱ级和Ⅰ级各l例.结论 球囊辅助的脑造通器联合神经内镜手术清除脑内血肿具有安全、微创、直视、止血效果好、血肿清除率高的优点.
Objective To evaluate the use of endoscopic surgery conbined with sacculus-assisted cerebrum corridor creator for hypertensive basal ganglia cerebral hemorrhage.Methods Twenty patients with hyertensive intracerebral hematoma were evacuated with neuroendoscope combined with sacculus-assisted cerebrum corridor creator.The hematoma evacuation rate,rebleeding rate,mortality rate and GOS score were recorded.Results Complete evacuation of hematoma was achieved in 10 patients,and partial evacuation in 10.The hematoma evacuation rate was 93％.The rebleeding rate is 0.The mortality rate was 5％.According to GOS score at 6-month follow-up,the result was V in 9 patients,Ⅳ-in 6,Ⅲ in 3,Ⅱ and Ⅰ in one respectively.Conclusion Neuroendoscopic surgery for hypertensive intracerebral hematoma is characterized by safety,mininvasion,visuality,good hemostasis,good hematoma evacuation,and is a new way in hypertensive cerebral hemorrhage.
出处
《中华实验外科杂志》
CAS
CSCD
北大核心
2013年第9期1974-1976,共3页
Chinese Journal of Experimental Surgery
基金
长春市科委资助项目（12SF69）
关键词
高血压脑出血
神经内镜
球囊
脑造通器
Hypertensive intracerebral hemorrhage
Neuroendoscope
Sacculus
Cerebrum corridor creator
