CAJ | 학술논문

目的探索神经内镜微创手术治疗高血压丘脑出血的效果.方法通过改进现有神经内镜手术技术与设备,南方医科大学珠江医院等4家医院神经外科自2007年7月至2010年6月通过常规骨孔在神经内镜下微创手术治疗高血压丘脑出血患者15例,分析患者的临床资料和手术疗效.结果本组患者平均手术时间(1.5±0.4)h,手术失血量约30～40mL,丘脑脑内血肿平均清除率为(86.2±7.9)%.随访3个月显示恢复良好3例(21.4%),轻度残疾4例(28.6%),重度残疾4例(28.6%),植物状态2例(14.3%),死亡1例(7.1%).结论神经内镜微创手术治疗高血压丘脑出血具有微创、高效、快速、出血少等特点.
목적 탐색신경내경미창수술치료고혈압구뇌출혈적효과.방법 통과개진현유신경내경수술기술여설비,남방의과대학주강의원등4가의원신경외과자2007년7월지2010년6월통과상규골공재신경내경하미창수술치료고혈압구뇌출혈환자15례,분석환자적림상자료화수술료효.결과 본조환자평균수술시간(1.5±0.4)h,수술실혈량약30～40mL,구뇌뇌내혈종평균청제솔위(86.2±7.9)%.수방3개월현시회복량호3례(21.4%),경도잔질4례(28.6%),중도잔질4례(28.6%),식물상태2례(14.3%),사망1례(7.1%).결론 신경내경미창수술치료고혈압구뇌출혈구유미창、고효、쾌속、출혈소등특점.
Objective To develop a minimally invasive operating technique for the treatment of hypertensive thalamic hemorrhage. Methods The clinical data of 15 patients with hypertensive thalamic hemorrhage performed neuroendoscope-assisted micro-invasive surgical treatment in our hospitals from July 2007 to June 2010 were retrospectively analyzed; their treatment efficacy were also concluded. Results The mean operation time of these patients was (1.5±0.4) h and the amount of blood loss was 30-40 mL; the mean clearance rate of hematoma in the thalamus was (86.2 ±7.9)percentage. Patients were followed up and evaluated by Glasgow outcome scale for at least 3 months.Three patients (21.4%) showed good recovery, 4 (28.6%) moderate disability, 4(28.6%) severe disability and 2 (14.3%) vegetative survival; 1 patient (7.1%) died. Conclusion Neuroendoscope-assisted micro-invasive surgical treatment is a fast and minimally invasive operating technique with little blood loss in the treatment of hypertensive thalamic hemorrhage.