脑内镜治疗30例高血压性脑出血

Endoscopic Treatment of Hypertensive Cerebral Hemorrhage in 30 Patients

目的探讨脑内镜直视下清除高血压性脑出血的手术技巧及治疗效果。方法回顾性分析脑内镜直视下清除30例高血压脑出血病人的临床资料。结果血肿完全清除17例,大部清除(清除量>80%)13例。存活26例,死亡4例。随访26例,随访时间6～60月,按GOS计分对预后进行评估:优20例,良3例,中2例,差1例。结论脑内镜直视下清除治疗高血压脑出血具有操作简便,手术创伤小,血肿清除彻底,止血可靠,手术时间短等优点,是高血压脑出血微侵袭外科治疗的一种新方法。

Objective To evaluate the technique and curative effects of endoscopic surgery for hypertensive cerebral hemorrhage (HCH).Method The intracerebral heamotoma were eliminated by a endoscopic surgery in the 30 patients with HCH.Results The complete elimination of haematoma was achieved in 17 cases and the partial in 13.Of 30 patients with HCH,4 died of the operation and 26 survived.Of 26 patients followed up from 6 to 60 months,20 were excellent,3 good,2 faire and 1 poor according to GOS. Conclusions The advantages of endoscopic surgery for the limination of HCH are directly perceivable,complete hemostatis,minimal operative injury and short operative time.Endoscopic surgery is one of minimally invasive surgery for HCH.