中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2011年
11期
1192-1195
,共4页
神经内窥镜控制手术%脑室出血%并发症%临床研究
神經內窺鏡控製手術%腦室齣血%併髮癥%臨床研究
신경내규경공제수술%뇌실출혈%병발증%림상연구
Endoscope-controlled operation%Ventricular hemorrhage%Complication%Clinical study
目的 探讨神经内窥镜控制手术治疗高血压脑室出血的有效性和安全性.方法 回顾分析神经内窥镜控制手术、小骨窗开颅手术,脑室穿刺尿激酶灌注引流三种方法治疗特定的脑出血破入脑室患者,并据此分组,比较手术疗效和并发症情况.结果 神经内窥镜组分别与其他2组比较,术后并发症明显减少(x2=9.966,P＜0.05).32例应用神经内窥镜控制手术清除血肿的患者中术后死亡2例,病死率6.25％;术后6个月ADL评分:Ⅰ级2例,Ⅱ级14例;Ⅲ级11例;Ⅳ级3例,Ⅴ级2例,与其他2组比较,差异有统计学意义(x2=10.499,P＜0.05).结论 应用脑内窥镜控制下手术治疗脑出血破入脑室患者,具有脑组织再伤小,颅内血肿清除及时、彻底和术后并发症少等优点,是一种治疗高血压脑出血破入脑室患者安全有效的治疗方法.
目的 探討神經內窺鏡控製手術治療高血壓腦室齣血的有效性和安全性.方法 迴顧分析神經內窺鏡控製手術、小骨窗開顱手術,腦室穿刺尿激酶灌註引流三種方法治療特定的腦齣血破入腦室患者,併據此分組,比較手術療效和併髮癥情況.結果 神經內窺鏡組分彆與其他2組比較,術後併髮癥明顯減少(x2=9.966,P＜0.05).32例應用神經內窺鏡控製手術清除血腫的患者中術後死亡2例,病死率6.25％;術後6箇月ADL評分:Ⅰ級2例,Ⅱ級14例;Ⅲ級11例;Ⅳ級3例,Ⅴ級2例,與其他2組比較,差異有統計學意義(x2=10.499,P＜0.05).結論 應用腦內窺鏡控製下手術治療腦齣血破入腦室患者,具有腦組織再傷小,顱內血腫清除及時、徹底和術後併髮癥少等優點,是一種治療高血壓腦齣血破入腦室患者安全有效的治療方法.
목적 탐토신경내규경공제수술치료고혈압뇌실출혈적유효성화안전성.방법 회고분석신경내규경공제수술、소골창개로수술,뇌실천자뇨격매관주인류삼충방법치료특정적뇌출혈파입뇌실환자,병거차분조,비교수술료효화병발증정황.결과 신경내규경조분별여기타2조비교,술후병발증명현감소(x2=9.966,P＜0.05).32례응용신경내규경공제수술청제혈종적환자중술후사망2례,병사솔6.25％;술후6개월ADL평분:Ⅰ급2례,Ⅱ급14례;Ⅲ급11례;Ⅳ급3례,Ⅴ급2례,여기타2조비교,차이유통계학의의(x2=10.499,P＜0.05).결론 응용뇌내규경공제하수술치료뇌출혈파입뇌실환자,구유뇌조직재상소,로내혈종청제급시、철저화술후병발증소등우점,시일충치료고혈압뇌출혈파입뇌실환자안전유효적치료방법.
Objective To investigate the efficacy,safety and practicability of endoscope-controlled microneurosurgery operations for hypertension ventricular hemorrhage.Methods The efficacy and complications of three operation methods,including endoscope-controlled operation,Burr-hole craniotomy,ventricle puncture and drainage of urokinase infusion,were compared retrospectively.Results The complications of endoscopecontrolled operation was significantly lower than the other two methods(x2 =9.966,P ＜ 0.05).Among the 32patients treated by endoscope-controlled operation,2 patients died after the surgery with a fatality rate of 6.25％.Six months after the surgery,the ADL score estimation showed grade Ⅰ 2 cases,grade Ⅱ 14 cases; grade Ⅲ 11cases ; grade Ⅳ3 cases; grade V2 cases.Compared to the other two groups,there was significant difference(x2 =10.499,P ＜ 0.05).Conclusion Endoscope-controlled operation is an effective and safe method in treating patients with hypertension ventricular hemorrhage with less brain damage,better hemorrhage clearance,and less complications when compared with small bone window craniotomy and ventricle puncture and drainage of urokinase infusion operation methods.
