摘要
目的 探讨内镜微创手术治疗自发性脑出血。方法 采用小骨窗开颅内镜辅助手术治疗自发性脑出血患者12例。 结果 血肿完全清除7例,大部清除4例。术后再出血1例,2例为血管畸形。随访3-6个月,GOS分级良好3例;中残4例;重残5例;无一例死亡。 结论 内镜手术清除自发性脑出血手术创伤小,能在直视下操作。对小血管畸形导致自发性脑出血也可应用内镜微创手术治疗。
Objective To explore minimal invasive endoscopic operation for treatment of spontaneous in-tracerebral hemorrhage. Methods Twelve cases of spontaneous intracerebral hemorrhage were evacuated with endoscope-assisted small-bone-window craniotomy. Results Complete evacuation of hematoma were achieved in 7 cases; partial evacuation in 4 cases; and rebleeded in 1 case. All patients were followed up for 3 to 6 months. According to GOS, good recovery were achieved in 3 cases, moderate disability in 4 cases, severe disability in 5 cases, and there was no death. Conclusion Endoscopic operation for spontaneous intracerebral hemorrhage is a minimal invasive operation which under direct vision, and also can be used for intracerebral hemorrhage caused by small vascular malformation.
出处
《中国脑血管病杂志》
CAS
2004年第2期79-80,共2页
Chinese Journal of Cerebrovascular Diseases
关键词
小骨窗开颅
内镜
自发性脑出血
微创外科
手术治疗
intracerebral hemorrhage
Endoscope
surgical procedure, Minimally invasive surgery