神经内镜辅助小骨窗手术治疗高血压基底节区脑出血

Neuroendoscopy assisted small bone window craniotomy in treating hypertensive cerebral hemorrhage in basal ganglia

目的:初步探讨神经内镜辅助小骨窗手术治疗高血压脑出血的方法。方法:采用神经内镜辅助小骨窗开颅清除脑内血肿治高血压基底节脑出血病例18例。结果:手术时间平均72min,15例血肿彻底清除,3例残留少量血肿,无术后再出血。随访1～12个月,依据GCS评分,恢复良好4例,轻度残疾7例,中度残疾7例。结论:神经内镜辅助小骨窗手术治疗高血压基底节区脑出血具有创伤小、暴露良好、止血彻底、手术时间短的优点,是一种有效的治疗手段。

Objective： To make preliminary investigation of the neuroendoscopy assisted small bone window craniotomy in treating hypertensive cerebral hemorrhage in basal ganglia. Methods. The neuroendoscopy assisted small bone window craniotomy was applied to clearing the intracerebral he- matoma of 18 cases of patients with hypertensive cerebral hemorrhage in basal ganglia. Results： The average operative time was 72 mins, the intracerehral hematoma of 15 cases was cleared, 3 ca- ses had small residual hematoma and there was no postoperative rebleeding. Patients had been fol- lowed up for I to 12 months, 4 cases recovered well, 7 with sligh disability and 7 with moderate disability otomy in according to GCS score. Conclusion： Neuroendoscopy assisted small bone window crani- treating hypertensive cerebral hemorrhage in basal ganglia has ly-invasive, good exposure, thorough hemostatic and shorter operative treating method. the advantages of minimal- time, so it is an effective