内镜辅助经侧脑室额角入路手术治疗重型脑室型丘脑出血
摘要
目的探讨应用内镜辅助下经侧脑室额角入路手术治疗重型脑室型丘脑出血的临床疗效。方法回顾性分析采用内镜辅助下经侧脑室额角入路手术治疗的12例重型脑室型丘脑出血病人的临床资料,观察病人术后颅内血肿清除率、并发症情况以及预后。结果血肿清除率70.9%～85.8%。无颅内感染,术后发生脑积水1例。12例病人随访3～6个月,GOS 4～5分6例,2～3分5例,1分1例。结论内镜辅助下经侧脑室额角入路手术彻底清除丘脑及脑室内血肿,并可避开对丘脑及毗邻功能区的手术创伤,具有高效、微创、对脑功能影响小等优势。
引文
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[2] STAYKOV D, KURAMATSU J B, BARDUTZKY J, et al.Efficacy and safety of combined intraventricular fibrinolysis with lumbar drainage for prevention of permanent shunt dependency after intracerebral hemorrhage with severe ventricular involvement:a randomized trial and individual patient data meta-analysis[J]. Ann Neurol, 2017,81(1):93-103.
[3]齐宇,韩秀红,孙志博,等.胼胝体-侧脑室入路显微手术治疗丘脑出血[J].中国微侵袭神经外科杂志, 2017, 22(6):274.
[4]许志剑,杨帆,陈俊良,等.经眉弓眶上锁孔入路治疗丘脑出血破入脑室1例[J].浙江医学, 2018, 40(4):402-404.
[5] HAN W Y, TAO Y Q, XU F, et al. The short-and longterm efficacy analysis of stereotactic surgery combined external ventricular drainage in the treatment of the secondary intraventricular hemorrhage[J]. Brain Behav,2017, 7(12):e00864.
[6]葛新,陈晓雷,孙吉庆,等.简易导航下神经内镜经kocher点额中回入路微创手术治疗丘脑出血破入脑室[J].中国神经精神疾病杂志, 2017, 43(3):176-179.
[7] JOHNSON J R, IDRIS Z, ABDULLAH J M, et al. Prevalence of shunt dependency and clinical outcome in patients with massive intraventricular haemorrhage treated with endoscopic washout and external ventricular drainage[J].Malays J Med Sci, 2017, 24(1):40-46.
[8]李晓腾,陈荣彬,李一明,等.内镜下微侵袭手术治疗高血压脑出血的预后影响因素[J].中国微侵袭神经外科杂志, 2018, 23(4):149-151.