CAJ | 학술논문

目的探讨球囊辅助的脑造通器联合神经内镜在治疗高血压基底节区脑出血手术中的应用.方法应用球囊辅助的脑造通器联合神经内镜手术清除20例高血压基底节区脑出血,观察血肿清除率、再出血率、死亡率及Glasgow结果(GOS)预后评分.结果内镜下血肿完全清除者10例,近全、次全清除或大部分清除10例,内镜下血肿清除率为93％；无再出血病例；死亡率为5％；随访6个月,GOS评分Ⅴ级9例、Ⅳ级6例、Ⅲ级3例、Ⅱ级和Ⅰ级各l例.结论球囊辅助的脑造通器联合神经内镜手术清除脑内血肿具有安全、微创、直视、止血效果好、血肿清除率高的优点.
목적 탐토구낭보조적뇌조통기연합신경내경재치료고혈압기저절구뇌출혈수술중적응용.방법 응용구낭보조적뇌조통기연합신경내경수술청제20례고혈압기저절구뇌출혈,관찰혈종청제솔、재출혈솔、사망솔급Glasgow결과(GOS)예후평분.결과 내경하혈종완전청제자10례,근전、차전청제혹대부분청제10례,내경하혈종청제솔위93％；무재출혈병례；사망솔위5％；수방6개월,GOS평분Ⅴ급9례、Ⅳ급6례、Ⅲ급3례、Ⅱ급화Ⅰ급각l례.결론 구낭보조적뇌조통기연합신경내경수술청제뇌내혈종구유안전、미창、직시、지혈효과호、혈종청제솔고적우점.
Objective To evaluate the use of endoscopic surgery conbined with sacculus-assisted cerebrum corridor creator for hypertensive basal ganglia cerebral hemorrhage.Methods Twenty patients with hyertensive intracerebral hematoma were evacuated with neuroendoscope combined with sacculus-assisted cerebrum corridor creator.The hematoma evacuation rate,rebleeding rate,mortality rate and GOS score were recorded.Results Complete evacuation of hematoma was achieved in 10 patients,and partial evacuation in 10.The hematoma evacuation rate was 93％.The rebleeding rate is 0.The mortality rate was 5％.According to GOS score at 6-month follow-up,the result was V in 9 patients,Ⅳ-in 6,Ⅲ in 3,Ⅱ and Ⅰ in one respectively.Conclusion Neuroendoscopic surgery for hypertensive intracerebral hematoma is characterized by safety,mininvasion,visuality,good hemostasis,good hematoma evacuation,and is a new way in hypertensive cerebral hemorrhage.