摘要
目的探讨神经导航辅助内镜手术治疗高血压脑出血的临床效果。方法选择深圳市人民医院神经外科自2014年6月至2016年6月应用神经导航辅助神经内镜手术治疗的高血压脑出血患者50例，回顾性分析患者的临床资料和疗效。结果手术结束后6h．全部患者复查头部CT，31例患者残余血肿量低于原血肿量的15％，14例患者残余血肿量为原血肿量的15％-30％，4例患者出现再出血，1例患者拒绝再次手术后死亡；49例存活患者术后6个月格拉斯哥预后评分（GOS）显示：植物生存5例，重残9例，轻残10例，恢复良好25例。结论神经导航辅助神经内镜手术治疗高血压脑出血的临床疗效良好，并发症较少，值得临床上推广和应用。
Objective To explore the clinical effect of neuronavigation assisted endoscopic surgery in treatment of patients with hypertensive intracerebral hemorrhage. Methods Fifty patients with hypertensive cerebral hemorrhage, admitted to our hospital from June 2014 to June 2016, were selected. All patients were treated with neuronavigation guided endoscopic surgery. Their clinical data and surgical efficacies were retrospectively analyzed. Results Patients＇ head CT was reviewed 6 h after operation, and residual hematoma volume was less than 15% among 31 patients, and in the ranges of 15%-30% among 14 patients. Re-bleeding occurred in 4 patients, and death in one patient. Glasgow outcome scale （GOS） of 49 patients 6 months after operation indicated vegetative state in 5 patients, severe disability in 9, moderate disability in 10, and good recovery in 25. Conclusion Neuronavigation assisted endoscopic surgery has good clinical effect on patients with hypertensive intracerebral hemorrhage in terms of few complications and high safety, so it is worthy of promotion and application in clinical practice.
出处
《中华神经医学杂志》
CSCD
北大核心
2017年第12期1214-1217,共4页
Chinese Journal of Neuromedicine
关键词
神经导航
神经内镜
高血压脑出血
Neuronavigation
Neuroendoscope
Hypertensive intracerebral hemorrhage
