摘要
目的总结神经内镜技术治疗高血压基底节区脑出血的效果。方法21例基底节区脑出血患者采用神经内镜技术治疗，术后给予控制血压、预防感染、脱水及补液等综合治疗，必要时行气管切开及腰椎穿刺术。结果术后CT复查显示血肿完全清除11例，近全清除（残余血肿量〈10m1）8例，大部分清除（残余血肿量10—20ml）2例。术后6个月，ADL评分Ⅰ级3例，Ⅱ级10例，Ⅲ级5例，Ⅳ级2例，Ⅴ级0例，死亡1例。结论神经内镜手术微创、直视，清除血肿和止血彻底，是高血压脑出血患者安全有效的治疗方法。
Objective To explore the treatment effect of nerve endoscopic surgery for hyperten- sive basal ganglia hemorrhage. Methods A total of 21 patients with hypertensive basal ganglia hemorrhage underwent nerve endoscopic surgery. Patients were comprehensivelytreatedafter the operation, including blood pressurecontrol, infection prevention, dehydration and fluid infusion. Results Postoperative CT scan showed that the hematoma was completely removed in 11 cases, almost removed （ residual hematoma volume 〈 10 ml）in 8 cases, and mostly removed （residual hematoma volumel0 -20 ml）in 2 cases. After 6 months, according to the ADL grading system, there were 3 cases of grade Ⅰ（ 14.29% ） , 10 cases of grade Ⅱ （47.62%） ,5 cases of gradeⅢ（23.80%） ,and 2 cases of grade Ⅳ（9.52% ）. One patient（4.76% ） died. Conclusion Nerve endoscopic surgery can directly clear hematoma and thoroughly stophemorrhage, which is minimally invasive, safe and effectivefor patients with hypertensive cerebral hemorrhage.
出处
《临床外科杂志》
2015年第10期760-762,共3页
Journal of Clinical Surgery
关键词
基底节出血
高血压
神经内镜
手术治疗
basal ganglia hemorrhage
hypertension
nerve endoscopy
surgery treatment
