内镜辅助显微锁孔手术治疗高血压脑出血19例

Neuroendoscope-assisted microsurgery for treatment of hypertensive intracerebral hemorrhage via keyhole approach:report of 19 cases

目的探讨内镜辅助显微锁孔手术治疗高血压脑出血的临床意义。方法应用内镜辅助显微锁孔手术治疗高血压脑出血19例。结果术后3个月～2年随访,19例患者均有不同程度的改善。根据Glasgow预后评分(GOS):优4例,中残14例,重残1例,无植物生存。结论内镜辅助显微锁孔手术治疗高血压脑出血是一种行之有效的方法,疗效满意。

Objective To explore the clinical significance of neuroendoscope-assisted microsurgical tech- nique for removing the hypertensive intracerebral hemorrhage （HICH） via keyhole approach. Methods Nineteen ca- ses of HICH were resected via keyhole approach by neuroendoscope-assisted microsurgical technique. Results The patients were followed up for 3 months to 2 years after operation, 19 cases of HICH got improvement of various degree. According to Glasgow outcome scale （GOS） ,good recovery was found in 4 cases ,moderate disability in 14 cases,se- vere disability in 1 case, no persistent vegetative state was found. Conclusion The neuroendoscope-assisted microsur- gery via keyhole approach is proper for treating HICH.