CAJ | 학술논문

目的探讨神经内镜在胶片为支撑通道下治疗高血压脑室出血的临床应用价值及疗效.方法对象为2010年4月至2011年10月贵州省人民医院收治的32例高血压脑室出血患者,在胶片为神经内镜支撑通道的辅助下清除脑室内血肿,对其疗效及预后进行分析.结果 32例患者术后第1天头颅CT检查平均血肿清除率85.4％.入院时格拉斯哥昏迷GCS评分(Glasgow Coma Scale)平均分12.6,术后第1周GCS均分9.7.死亡1例,再出血3例,2例发生颅内感染.术后3个月随访,格拉斯哥预后GOS评分(Glasgow Outcome Scale)分级:Ⅴ级17例、Ⅳ级7例、Ⅲ级5例、Ⅱ级3例.结论神经内镜在胶片为支撑通道辅助下治疗脑室出血具有明显的优势,清除血肿量较多,并发症少.
목적 탐토신경내경재효편위지탱통도하치료고혈압뇌실출혈적림상응용개치급료효.방법 대상위2010년4월지2011년10월귀주성인민의원수치적32례고혈압뇌실출혈환자,재효편위신경내경지탱통도적보조하청제뇌실내혈종,대기료효급예후진행분석.결과 32례환자술후제1천두로CT검사평균혈종청제솔85.4％.입원시격랍사가혼미GCS평분(Glasgow Coma Scale)평균분12.6,술후제1주GCS균분9.7.사망1례,재출혈3례,2례발생로내감염.술후3개월수방,격랍사가예후GOS평분(Glasgow Outcome Scale)분급:Ⅴ급17례、Ⅳ급7례、Ⅲ급5례、Ⅱ급3례.결론 신경내경재효편위지탱통도보조하치료뇌실출혈구유명현적우세,청제혈종량교다,병발증소.
Objective To evaluate the value and efficacy of surgical treatment with neuroendoscopy with supported channel for hypertensive intraventricular hemorrhage (HIVH).Methods The clinical data of 32 patients with hypertensive intraventricular hemorrhage were retrospectively analyzed.And they underwent neuroendoscopy with supported channel.Results Computed tomography scans at Day 1 postoperation revealed that the evacuation of intraventricular hematoma was 85.4％ in all patients.The Glasgow coma score (GCS) at Week 1 postoperation was significantly higher than that at preoperation.The postoperative outcomes were intracranial infection ( n =1 ),mortality ( n =1 ) and secondary hemorrhage ( n =3).All patients were followed up for 3 months.According to Glasgow outcome scale ( GOS ),there were excellent recovery (n=17),moderate disability (n =7),severe disability (n =5) and vegetative survival (n=3).Conclusion The surgical treatment of neuroendoscopy with supported channel for HIVH offers great advantages with a low rate of complications and favorable outcomes.