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小骨窗开颅内镜辅助治疗自发性脑出血12例 被引量:2

Primary application of endoscope-assisted small bone window craniotomy for treatment of spontaneous intracerebral hemorrhage of 12 cases
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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
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参考文献5

  • 1[1]王忠诚,主编 . 神经外科学 .武汉 :湖北科学技术出版社, 1997,687.
  • 2李良,韦向亮,霍惟扬,鲍圣德.神经内窥镜治疗高血压性脑出血[J].中国内镜杂志,2000,6(6):5-7. 被引量:9
  • 3[3]Lee KR, Kawai N, Kim S, et al. Mechanism of edema formation after intracerebral hemorrhage: effects of thrombin on cerebral blood flow, blood-brain barrier permeability, and cell survival in a rat model. J Neurosurg,1997,86:272-278.
  • 4[4]Morgenstern LB, Demchuk AM, Kim DH, et al. Rebleeding leads to poor outcome in ultra-early craniotomy for intracerebral hemorrhage. Neurology, 2001,56:1294-1299.
  • 5[5]Bauer BL, Hellwig D. Minimally invasive endoscopic neurosurgery a survey. Acta Neurochir Suppl,1994,61:1-12

二级参考文献1

  • 1刘宗惠 段国升 等.高血压性脑出血手术.手术学全集-神经外科卷[M].北京:人民军医出版社,1994.303-315.

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