[1]卢娜,薛成江,隋松涛,等.小骨窗开颅内镜辅助下手术治疗3种不同部位高血压脑出血的研究[J].临床神经外科杂志,2020,17(04):455-458.[doi:DOI:10.3969/j.issn.1672-7770.2020.04.022]
 LU Na,XUE Cheng-jiang,SUI Song-tao,et al.Small bone window endoscopic-assisted surgery for treatment types of hypertensive cerebral hemorrhage in three different locations[J].Journal of Clinical Neurosurgery,2020,17(04):455-458.[doi:DOI:10.3969/j.issn.1672-7770.2020.04.022]
点击复制

小骨窗开颅内镜辅助下手术治疗3种不同部位高血压脑出血的研究()
分享到:

《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
17
期数:
2020年04期
页码:
455-458
栏目:
临床研究
出版日期:
2020-08-14

文章信息/Info

Title:
Small bone window endoscopic-assisted surgery for treatment types of hypertensive cerebral hemorrhage in three different locations
文章编号:
202004022
作者:
卢娜薛成江隋松涛庞业光甄世明孟祥辉
266555 青岛,西海岸新区中心医院神经外科(卢娜,薛成江,隋松涛,庞业光,甄世明);中国人民解放军总医院神经外科(孟祥辉)
Author(s):
LU Na XUE Cheng-jiang SUI Song-tao et al.
Department of Neurosurgery, West Coast New District Central Hospital, Qingdao 266555, China
关键词:
高血压脑出血神经内镜手术治疗
Keywords:
hypertension cerebral hemorrhage neuroendoscopy surgical treatment
分类号:
R651.1
DOI:
DOI:10.3969/j.issn.1672-7770.2020.04.022
文献标志码:
B
摘要:
目的研究小骨窗开颅内镜辅助下手术治疗3种不同部位高血压脑出血的疗效及优势。方法采用西海岸新区中心医院开展的小骨窗开颅内镜辅助下血肿清除术治疗高血压脑出血患者110例。脑出血包括基底节区、小脑、脑室内出血,其中基底节区出血患者中发生脑疝者4例。30例患者平时口服阿司匹林,6例患者用氯吡格雷及阿司匹林双抗。术后3个月时进行疗效评价,根据ADL日常生活能力评定量表评分。结果本组患者预后良好率为95.05%;其中基底节区出血患者的预后良好率为93.47%,小脑出血患者预后良好率为91.67%,脑室内出血患者预后良好率为100%。4例基底节出血脑疝患者术后1周内无1例死亡。结论采用小骨窗开颅内镜辅助下进行不同部位高血压脑出血的手术治疗术式,充分体现了内镜技术用于高血压脑出血手术的可行性及优势。对口服抗血小板、抗凝药物及脑疝患者进行小骨窗开颅内镜辅助下脑内血肿清除术也是可行的,并且手术效果良好。
Abstract:
To study the efficacy and advantages of small bone window endoscopic assisted surgery for three kinds of hypertensive cerebral hemorrhage in different parts. Methods 110 patients with hypertensive intracerebral hemorrhage were treated by small bone window endoscopic assisted hematoma removal by the West Coast New District Central Hospital. Cerebral hemorrhage included hemorrhage in the basal ganglia, cerebellum, and intraventricular hemorrhage, of which 4 patients had cerebral hernia in patients with basal ganglia hemorrhage. 30 patients usually took aspirin orally, and 6 received clopidogrel and aspirin. The curative effect was evaluated at 3 months after operation, according to the ADL Daily Living Ability Rating Scale. Results The good prognosis rate of this group of patients was 95.05%,the good prognosis rate of patients with basal ganglia hemorrhage was 93.47%, the good prognosis rate of patients with cerebellar hemorrhage was 91.67%, and the good prognosis rate of patients with intraventricular hemorrhage was 100%. None of the 4 patients with basal ganglia hemorrhage and cerebral hernia died within 1 week after operation. Conclusions The surgical treatment of hypertensive intracerebral hemorrhage at different locations with small bone window endoscopy fully reflects the feasibility and advantages of endoscopic technique for hypertensive intracerebral hemorrhage surgery. Small bone window endoscopic assisted intracerebral hematoma removal is also feasible for patients with oral antiplatelet, anticoagulant drugs and cerebral hernia, and the surgical effect is good.

相似文献/References:

[1]彭爱军,蒋京功,周肖东,等.汉语失语症测评软件在脑出血失语评定中的临床应用[J].临床神经外科杂志,2014,(01):58.
[2]陈军,李爱民,陈震.脑血流重建术治疗出血型烟雾病[J].临床神经外科杂志,2016,(01):21.
[3]刘永,张玉海,何升学,等.经外侧裂岛叶入显微清除高血压性基底节区脑出血[J].临床神经外科杂志,2015,(05):375.
[4]周杰,马建荣,谷欣.APACHE IV评分评估重症颅脑外伤的预后价值[J].临床神经外科杂志,2015,(06):426.
[5]徐德才,张少军,娄飞云.骨髓间充质干细胞移植治疗脑出血大鼠的实验研究[J].临床神经外科杂志,2014,(03):200.
[6]张宏兵,王晓峰,唐宗椿,等.颅内压监测在高血压脑出血置管引流治疗中的应用[J].临床神经外科杂志,2014,(03):219.
[7]邢涛,付志辉,张荣俊,等.高血压脑出血患者偏瘫相关弥散张量成像研究[J].临床神经外科杂志,2014,(04):255.
[8]郝璞珩,李娜,金林.血清Tau蛋白水平与脑出血患者早期预后的相关性分析[J].临床神经外科杂志,2014,(06):453.
[9]余坚,季海明,封林森,等.定向软通道治疗基底节区自发性脑出血的研究[J].临床神经外科杂志,2016,(05):380.
 YU Jian,JI Hai-ming,FENG Lin-sen,et al.Study on the treatment of 35 cases of spontaneous intracerebral hemorrhage in basal ganglia region by directional soft channel[J].Journal of Clinical Neurosurgery,2016,(04):380.
[10]郑虎,张红波,袁辉胜,等.CT辅助下立体定向穿刺引流术治疗基底节区脑出血的疗效分析[J].临床神经外科杂志,2016,(05):386.
 ZHENG Hu,ZHANG Hong-bo,YUAN Hui-sheng,et al.Analysis of effectives on CT assisted stereotactic puncture and drainage in the treatment of elderly patients with basal ganglia cerebral hemorrhage[J].Journal of Clinical Neurosurgery,2016,(04):386.
[11]蔡可胜.血肿及脑室穿刺外引流治疗高血压脑出血89例临床分析[J].临床神经外科杂志,2014,(02):145.
[12]阿布都克尤木·阿布都吉力力,帕热哈提江·依孜木,李津生,等.两种不同手术方式治疗基底节区高血压脑出血的临床疗效[J].临床神经外科杂志,2018,15(05):354.[doi:10.3969/j.issn.1672-7770.2018.05.009]
 Abdukeyum Abdujilil,Parhatjan Yizim,LI Jin-sheng,et al.Comparative study on early prognosis of hypertensive cerebral hemorrhage in basal ganglia by different surgical methods[J].Journal of Clinical Neurosurgery,2018,15(04):354.[doi:10.3969/j.issn.1672-7770.2018.05.009]

更新日期/Last Update: 2020-08-18