[1]宋张平,陈建均,任洪清,等.无牵开器动态牵拉技术治疗高血压脑出血[J].临床神经外科杂志,2020,17(01):82-85.[doi:DOI:10.3969/j.issn.1672-7770.2020.01.018]
 SONG Zhang-ping,CHEN Jian-jun,REN Hong-qing,et al.Dynamic retraction surgery without retractor for hypertensive intracerebral hemorrhage[J].Journal of Clinical Neurosurgery,2020,17(01):82-85.[doi:DOI:10.3969/j.issn.1672-7770.2020.01.018]
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无牵开器动态牵拉技术治疗高血压脑出血()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
17
期数:
2020年01期
页码:
82-85
栏目:
临床研究
出版日期:
2020-02-15

文章信息/Info

Title:
Dynamic retraction surgery without retractor for hypertensive intracerebral hemorrhage
文章编号:
202001018
作者:
宋张平陈建均任洪清陶冶飞刘妙林吴春飞
226300 南通,南通市通州区人民医院神经外科
Author(s):
SONG Zhang-ping CHEN Jian-jun REN Hong-qing et al.
Department of Neurosurgery, People’s Hospital of Tongzhou District, Nantong 226300, China
关键词:
高血压脑出血血肿清除术无牵开器动态牵拉技术
Keywords:
hypertensive intracerebral hemorrhage evacuation of intracerebral hemorrhage dynamic retraction surgery without retractor
分类号:
R743.34
DOI:
DOI:10.3969/j.issn.1672-7770.2020.01.018
文献标志码:
D
摘要:
目的探讨无牵开器动态牵拉技术治疗高血压脑出血的手术方法及临床疗效。方法回顾性分析采用无牵开器动态牵拉技术治疗的40例高血压脑出血患者的临床资料;分析手术技术特点、手术效果、脑牵拉伤、术后恢复情况。结果所有患者均在脑内血肿清除术中采用无牵开器动态牵拉技术;平均手术时间(154.75±26.21)min;平均血肿清除率(92.08±6.17)%;有6例患者(15%)发生术野再出血,2例患者(5%)发生脑牵拉伤。术后3个月的改良Rankin量表(modified Rankin scale,mRS)评分:1级1例,2级6例,3级18例,4级11例,5级3例,6级1例。结论在高血压脑出血血肿清除术中,采用无牵开器动态牵拉技术,所需硬件设备少,手术效果好,术后并发症少,并能提高患者生活质量,值得在基层医院推广应用。
Abstract:
Objective To explore the surgical method and clinical value of dynamic retraction surgery without retractor for hypertensive intracerebral hemorrhage. Methods The clinical data of 40 patients with hypertensive intracerebral hemorrhage underwent dynamic retraction surgery without retractor were analyzed retrospectively. The characteristics of the surgical technique, operation effect, brain retraction injury(BRI) and postoperative recovery were analyzed. Results All patients underwent the dynamic retraction surgery without retractor in the evacuation of intracerebral hemorrhage. Mean operative time was(154.75±26.21)min. Average removal rate of hematoma was(92.08±6.17)%. 6 cases(15%) underwent intraoperative field rebleeding. 2 cases(5%) suffered BRI. mRS score of 3 months after surgery showed 1 case was in grade 1, 6 in grade 2, 18 in grade 3, 11 in grade 4, 3 in grade 5 and 1 in grade 6. Conclusions Evacuation of intracerebral hemorrhage in patients with hypertension intracerebral hemorrhage, adopting dynamic retraction surgery without retractor, less hardware equipment, less postoperative complications can improve quality of the patients’ life. It is worth widely use in the neurosurgery of primary hospital.

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更新日期/Last Update: 2020-02-19