临床神经外科杂志Issue(3)：197-199,3.DOI:10.3969/j.issn.1672-7770.2014.03.012
微骨孔入路神经内镜下超早期治疗脑出血疗效研究
Study on ultra early treatment for cerebral hemorrhage via keyhole approach under endoscope
摘要
Abstract
Objective To study the effect of ultra early keyhole approach endoscopic operation with urokinase perfusion drainage of hematoma in treatment of cerebral hemorrhage .Methlds 26 patients underwent endoscopic puncture hematoma operation , and residual hematoma volume were evaluated by CT with eht follow-up of 6 months and GOS prognostic evaluation .Result Postoperative CT hematoma clearance rate was 3 cases<30%,30%~50%12 cases,50%~70%9 cases,>70%2 cases in first day and <30%0 case,30%~50%2 cases,50%~70%5 cases,>70%19 cases in the third day .GOS evaluation of the follow-up about 6 months showed good in 18 cases ,general in 6 , poor in 2 and death in 1 .Conclusion Super early keyhole approach endoscopic puncture operation to remove the hematoma with urokinase perfusion drainage in the treatment of hypertensive intracerebral hemorrhage ( HICH ) , has accuracy , direct vision , minimally invasive , simplicity , and higher hematoma clearance rate ,disability rate is low and the prognosis is good .关键词
神经内镜/超早期/微骨孔入路Key words
endoscopic/ultra early/keyhole approach分类
医药卫生引用本文复制引用
陈旭东,成力伟,田达,吕雪霞,任明军,孙顺进,朱美晓..微骨孔入路神经内镜下超早期治疗脑出血疗效研究[J].临床神经外科杂志,2014,(3):197-199,3.基金项目
浙江省中医药科学研究基金计划 （）
