神经窥镜辅助锁孔手术治疗高血压脑出血疗效分析

The Analysis of the curative Effect on HICH with Endoscope-assisted Neurosurgery Keyhole Operation

目的：探讨神经内窥镜下锁孔手术治疗高血压脑出血的疗效。方法：采用神经内窥镜对21例高血压脑出血进行锁孔手术治疗，观察其治疗效果，随访1年～2年。结果：存活18例；治愈16例；治愈率：76％，大部分患者恢复日常生活和工作能力。结论：神经内窥镜辅助下锁孔手术治疗高血压脑出血，具有创伤小，手术时间短，并发症少，术后恢复快、死亡率、致残率低等优点，是治疗高血压脑出血较好的治疗方法。

Objective： To study the curative effect with endoscope-assisted neurosurgery keyhole operation on hypertensive intracerebral hemorrhage（HICH）. Methods： Endoscope-assisted neurosurgery keyhole technology was used in the operation of HICH in 21 patients and observed the clinical efficacy. They were followed up from 1 to 2 years. Results： 18 patients survived, 16 patients cured and the total recovery rate was 76%. Most of the patients recovered the ability of dailylife and work. Conclusions： Endoscope-assisted neurosurgery keyhole technology in the operation of HICH had small trauma, shorter operation time, fewer complications, faster recovery in post-operation, lower mortality and disability.