CT-guided stereotactic and neuroendoscope-assisted surgery for hypertensive cerebral hemorrhage
10.3760/cma.j.issn.1671-8925.2008.04.024
- VernacularTitle:CT引导立体定向神经内窥镜手术治疗高血压脑出血
- Author:
Chao-Qun WENG
1
;
Jin-Dong ZHOU
;
Qing-Dong JIN
;
Huang LIN
Author Information
1. 福建省蒲田市第一医院
- Keywords:
Intracranial hemorrhage,hypertensive;
Stereotaxis techniques;
Neuroendoscopy
- From:
Chinese Journal of Neuromedicine
2008;7(4):414-416
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the curative effect of CT-guided stereotactic and neuroendoscope-assisted operation on cerebral hemorrhage caused by hypertension. Methods Twenty-five cases of cerebral hemorrhage caused by hypertension treated in our department in 2005-2006 were selected. ASA602A type position finder was installed under local anesthesia, and operation planning system was imported after CT scanning. The target point was selected at 1-1.5 cm posterior the central point of the largest hematoma, then the coordinate of the target point was calculated, and incisal opening and operation approach were programmed. Brain operation with trephine was performed under general anesthesia. After hematoma evacuating cannula were placed in the skull hole of 3 cm in diameter to remove partial hematoma, neuroendoscope was inserted to get rid of hematoma and stop bleeding.Results Of 25 patients with cerebral hemorrhage, 24 h after operation, 10 received evacuation of 60%-70% of hematomas, 11 did 80%-90%, 4 did more than 90%; 72 h after operation, all patients received evacuation of more than 90%. During the follow-up for 3 months after the operation, activities of daily living (ADL) scoring showed excellent improvement in 14 cases and amelioration in 9; 2 patients died from lung infection 10, 14 d after operation, respectively. Conclusions CT-guided stereotactic and neuroendoscope-assisted surgery is a safe, effective and minimally invasive method to treat hypertensive cerebral hemorrhage.
