天津医药

• 临床论丛 • 上一篇    下一篇

微骨瓣额中回入路治疗重型脑室出血

崔永华,夏咏本,张立勇,韩清   

  1. 南通大学附属建湖医院
  • 收稿日期:2013-04-15 修回日期:2013-09-08 出版日期:2014-02-15 发布日期:2014-02-15
  • 通讯作者: 崔永华

Treatment of severe intraventricular hematoma through midfrontal keyhole approach（21cases）

  • Received:2013-04-15 Revised:2013-09-08 Published:2014-02-15 Online:2014-02-15

PDF (PC)

2757

摘要： 【摘要】 目的 探讨微骨瓣额中回入路在重型脑室出血中的应用价值。方法 回顾性分析21例微骨瓣额中回入路治疗重型脑室出血的临床资料。结果 术后脑室内外血肿清除满意，改善了GCS评分、脑室积血Graeb评分。主要并发症：弥漫性脑肿胀1例，脑血管痉挛3例，颅内感染1例，肺部感染7例。随访1-6月，按ADL分级 恢复良好5例，中度残疾9例，重度残疾3例，植物生存1例，死亡3例。结论　微骨瓣经额中回入路可有效清除脑室内外血肿，及时解除梗阻性脑积水，减轻继发性脑损害，改善患者的预后。

关键词: 重型脑室出血, 显微外科手术, 经额中回入路

Abstract: 【Abstract】Objective To evaluate the clinical value of midfrontal keyhole approach for treatment of severe intraventricular hematoma .Methods The clinical data of 21 cases of severe intraventricular hemorrhage through midfrontal keyhole approach were analyzed retrospectively. Results Evacuation of hematoma was satisfied in all cases. improved the GCS scores, intraventricular hemorrhage Graeb scores. Mian Complications after operation: diffuse brain swelling 1 case, cerebral vasospasm 3 cases, intracranial infection 1 case, pulmonary infection 7 case. According to COS, of 21 patients,5 were recovered well, 9 moderately disabled, 3 severely disabled, 1 vegetative and 3 died. Conclusions We can remove the hematoma through midfrontal keyhole approach, Restore the cerebrospinal fluid circulation , reduce the secondary brain damage, improve the prognosis of patients

Key words: severe intraventricular hemorrhage, microsuegery, via transcortial middle frontal gyrus approach