神经内镜手术治疗高血压脑出血

Endoscopic surgery for hypertensive cerebral hemorrhage

目的:探讨神经内镜在治疗高血压脑出血手术中的应用。方法:应用神经内镜手术清除16例高血压脑内血肿,与常规开颅组比较手术创伤指标、残留血肿量及疗效。结果:内镜组血肿完全清除者9例,近全清除或大部分清除7例。随访6个月,疗效优6例,良6例,中2例,差和死亡各1例。各创伤指标和残留血肿量较开颅组均显著降低(P<0.05);疗效与开颅组比较无差异(P>0.05)。结论:神经内镜手术清除脑内血肿具有微创、省时、直视等优点,为高血压脑出血的外科治疗提供了新的方法。

Objective To evaluate the use of endoscopic surgery for hypertensive cerebral hemorrhage. Methods Sixteen patients with hyertensive intracerebral hematoma were evacuated with neuroendoscope. The surgical invasive markers, volume of remaining hematoma, and prognosis were compared with those of 19 comparable patients undergoing conventional craniotomy. Results Complete evacuation of hematoma was achieved in 9 patients, and partial evacuation in 7. All patients were followed up for 6 months. According to GOS, the result was excellent in 6 patients, good in 6, fare in 2, poor and dead in one respectively. The volume of remaining hematoa and invasive markers significantly decreased （P 〈0.05） ; No difference was found in prognosis between the two groups （P〉0.05）. Conclusion Neuroendoscopic surgery for hypertensive intracerebral hematoma is characterized by mini-nvasion, time-saving, and direct-vision,and is a new approach in this field.