经颅神经内镜额部入路在基底节出血中的应用

The application of transcranial neuroendoscopic frontal approach in basal ganglia intracerebral hemorrhage

目的探讨经颅神经内镜额部入路在基底节出血中的应用。方法回顾性分析本科2018年2月-2019年5月用经颅神经内镜额部入路治疗基底节出血的12例患者的临床资料。结果所有患者均能顺利完成手术,平均血肿排出率为91.56%,手术后GCS评分逐渐提高,出院前增加GCS评分为5.8分。围手术期病死率为0,术后并发2例肺部感染,予以抗感染治疗后恢复,无再出血病例,无颅内感染病例。结论经颅神经内镜治疗基底节出血安全有效,额部入路对纤维束干扰较少,相对颞部入路更具有优势。

Objective To explore the application of transcranial neuroendoscopic via frontal approach in basal ganglia intracerebral hemorrhage. Methods The clinical data of 12 patients with basal ganglia intracerebral hemorrhage treated by transcranial neuroendoscopic via frontal approach in our department from February 2018 to May 2019 were retrospectively analyzed. Results All patients were able to complete the operation successfully, with an average hematoma clearance rate of 91.56% and a perioperative mortality rate of 0. Conclusion Transcranial neuroendoscopy via frontal approach was safe and effective in the treatment of basal ganglia intracerebral hemorrhage.