中国内镜杂志2026，Vol.32Issue(4)：37-45,9.DOI:10.12235/E20250299
神经导航辅助改良内镜下经额长径清除基底节长条形血肿的疗效分析:单中心病例研究
Analysis of the therapeutic effect of neuro-navigation-assisted modified endoscopic transfrontal long diameter clearance of long strip-shaped hematoma in the basal ganglia region:a single-center retrospective study
黄巍 1张源 1邹小君 1付亮 1罗飞 1李君 1郑雪峰 1张明升 1王文浩1
作者信息
- 1. 第九〇九医院(厦门大学附属东南医院)神经外科,福建 漳州 363000
- 折叠
摘要
Abstract
Objective To explore the safety and efficacy of modified minimally invasive transfrontal long-diameter removal of long strip-shaped hematoma in the basal ganglia region by neuronavigation combined with endoscopic technology.Methods Thirty patients with long strip-shaped hematoma in the basal ganglia region from January 2020 to January 2023 were selected,and all hematoma was removed by neuroendoscopy.All of them underwent hematoma removal by neuroendoscopy and were grouped according to different surgical methods.Among them,10 cases were treated with the traditional lateral frontotemporal cortical fistula procedure(group A),8 cases were treated with the translateral fissure procedure(group B),and 12 cases were treated with the modified endoscopic transfrontal long diameter procedure assisted by neuronavigation(group C).Observe the perioperative related indicators(operation time,intraoperative blood loss,bone flap diameter,endoscopic swing angle,hematoma clearance rate,intracranial pressure on the 3rd and 7th days after operation)of the three groups of patients,as well as the prognosis[modified Rankin scale(mRS)score].Results All 30 patients underwent endoscopic resection of long linear hematoma in the basal ganglia region.The diameter of the bone flap in group C was significantly shorter than that in group A and group B,the angle of endoscopic swing was significantly smaller than that in group A and group B,the hematoma clearance rate was significantly higher than that in group A and group B,the intracranial pressure 7 days after the operation was significantly lower than that in group A and group B,and the operation time of group B was significantly longer than that of group A and group C,the intraoperative blood loss was significantly more than that in group A and group C,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the mRS score among the three groups of patients at 6 months after surgery(P=0.294).Conclusion Neuronavigation-assisted modified endoscopic transfrontal long diameter clearance of long strip-shaped hematoma in the basal ganglia region can achieve the purpose of protecting the important lateral white matter fiber tracts,with a high hematoma clearance rate,mild postoperative secondary brain injury and edema,and good intracranial pressure control.It is worthy of clinical promotion and application.关键词
基底节血肿/神经导航/神经内镜/高血压脑出血/微创手术Key words
basal ganglia hematoma/neuronavigation/neuroendoscopy/hypertensive intracerebral hemorrhage/minimally invasive surgery分类
医药卫生引用本文复制引用
黄巍,张源,邹小君,付亮,罗飞,李君,郑雪峰,张明升,王文浩..神经导航辅助改良内镜下经额长径清除基底节长条形血肿的疗效分析:单中心病例研究[J].中国内镜杂志,2026,32(4):37-45,9.
