中华神经外科杂志
中華神經外科雜誌
중화신경외과잡지
Chinese Journal of Neurosurgery
2012年
11期
1124-1126
,共3页
杜郭佳%巴吐鲁呼%朱国华%付强%汪永新%刘波%普安格%党木仁
杜郭佳%巴吐魯呼%硃國華%付彊%汪永新%劉波%普安格%黨木仁
두곽가%파토로호%주국화%부강%왕영신%류파%보안격%당목인
脑室镜%脑室出血%治疗%手术
腦室鏡%腦室齣血%治療%手術
뇌실경%뇌실출혈%치료%수술
Intraventricular endoscopy%Intraventricular hemorrhage%Therapy%Operation
目的 探讨应用脑室镜清除脑室内血肿治疗脑室出血的疗效.方法 回顾性分析18例脑室出血患者的临床资料.结果 患者入院12 h内在脑室镜下清除脑室内血肿,手术结束术区置管,术后向脑室内注入尿激酶,拔管后腰穿腰大池置管持续引流脑脊液;术后24 h复查头颅CT,脑室内血肿清除80%以上者占12例;术后2个月对患者进行GOS评分,5分(优)4例,4分(良)8例,3分(中)3例,2分(差)2例,1分(死亡)1例,恢复优良率为67%.结论 早期应用脑室镜清除脑室内血肿可改善患者的预后、降低并发症,具有直视下操作、迅速有效地清除脑室内血肿、术后恢复快等优点.
目的 探討應用腦室鏡清除腦室內血腫治療腦室齣血的療效.方法 迴顧性分析18例腦室齣血患者的臨床資料.結果 患者入院12 h內在腦室鏡下清除腦室內血腫,手術結束術區置管,術後嚮腦室內註入尿激酶,拔管後腰穿腰大池置管持續引流腦脊液;術後24 h複查頭顱CT,腦室內血腫清除80%以上者佔12例;術後2箇月對患者進行GOS評分,5分(優)4例,4分(良)8例,3分(中)3例,2分(差)2例,1分(死亡)1例,恢複優良率為67%.結論 早期應用腦室鏡清除腦室內血腫可改善患者的預後、降低併髮癥,具有直視下操作、迅速有效地清除腦室內血腫、術後恢複快等優點.
목적 탐토응용뇌실경청제뇌실내혈종치료뇌실출혈적료효.방법 회고성분석18례뇌실출혈환자적림상자료.결과 환자입원12 h내재뇌실경하청제뇌실내혈종,수술결속술구치관,술후향뇌실내주입뇨격매,발관후요천요대지치관지속인류뇌척액;술후24 h복사두로CT,뇌실내혈종청제80%이상자점12례;술후2개월대환자진행GOS평분,5분(우)4례,4분(량)8례,3분(중)3례,2분(차)2례,1분(사망)1례,회복우량솔위67%.결론 조기응용뇌실경청제뇌실내혈종가개선환자적예후、강저병발증,구유직시하조작、신속유효지청제뇌실내혈종、술후회복쾌등우점.
Objective To explore the treatment effects of application of endoscopy evacuation of intraventricular hematoma.Methods The clinical data of 18 cases with intraventricular hemorrhage were analyzed retrospectively.Intraventricular endoscopy hemorrhage evacuation were performed for those patients within 12 h after the admission.Intraventricular injection of urokinase and lumbar cistern continuous drainage of cerebrospinal fluid were performed after operation.Results Postoperative CT within 24 h showed nearly complete evacuation of intraventricular hematoma in 12 cases.All patients were followed-up for two months.According to GOS,the result was excellent in 4 cases,good in 8,fare in 3,poor in 2 and dead in 1.The excellent recovery rate was 67%.Conclusions Early application of intraventricular endoscopy evacuation of intraventricular hematoma could improve the patient's prognosis and reduce complications of intraventricular hemorrhage.It is characterized by visualized manipulation,rapid and effective hematoma evacuation and rapid postoperative recovery.