临床神经外科杂志2026，Vol.23Issue(3)：329-333,5.DOI:10.3969/j.issn.1672-7770.2026.03.016
内镜经枕天幕-松果体隐窝-上髓帆入路清除全脑室血肿
Endoscopic occipital transtentorial-pineal recess-superior medullary velum approach for whole ventricular hematoma evacuation
摘要
Abstract
Objective To explore the feasibility and clinical efficacy of endoscopic hematoma evacuation via transoccipital tentorium-pineal recess-superior medullary velum approach for whole ventricular hematoma.Methods A retrospective analysis was conducted on one case of thalamic hemorrhage rupturing into the ventricles admitted to the Department of Neurosurgery,Suzhou Ninth Hospital Affiliated to Soochow University in November 2024.Hematomas in the thalamus and entire ventricles were evacuated via the endoscopic transoccipital tentorium-pineal recess-superior medullary velum approach.Results The endoscopic transoccipital tentorium-pineal recess-superior medullary velum approach allowed direct evacuation of hematomas in the thalamus and whole ventricular system.Early establishment of cerebrospinal fluid circulation improved patients'conscious disturbance rapidly.No external ventricular drainage was conducted.No postoperative complications such as rebleeding,hydrocephalus and intracranial infection were observed.Favorable hematoma clearance and clinical efficacy were obtained.Conclusions The endoscopic transoccipital tentorium-pineal recess-superior medullary velum approach avoids external ventricular drainage and intraventricular urokinase injection.It possesses potential clinical advantages and deserves further application and promotion.关键词
内镜/脑室内血肿/枕天幕入路/松果体隐窝入路/上髓帆入路Key words
endoscopy/intraventricular hematoma/transoccipital tentorium approach/pineal recess approach/superior medullary velum approach分类
医药卫生引用本文复制引用
黄传俊,柳双,邢惟慷,邹煜,陈笑,朱扬清,张晓彪..内镜经枕天幕-松果体隐窝-上髓帆入路清除全脑室血肿[J].临床神经外科杂志,2026,23(3):329-333,5.基金项目
上海市科委生物医药项目(22S31902500) （22S31902500）
上海市科技计划项目(23015830700) （23015830700）
江苏省高校重点实验室开放课题(XZSYSKF2025016) （XZSYSKF2025016）
苏州大学附属苏州九院科研基金项目(YK202106) （YK202106）
