Neuroendoscope-assisted micro-invasive surgical treatment of hypertensive thalamic hemorrhage

VernacularTitle:高血压丘脑出血的神经内镜微创手术治疗
Author: Yi-Zhao CHEN ¹ ; Ru-Xiang XU ; Yong-Geng NIE ; Li-Ke SAI ; Xiang-Yu WANG ; Cheng-Yi LUO ; Shi-Zhong ZHANG ; Yi-Quan KE
Author Information

1. 南方医科大学珠江医院
Keywords: Intracranial hemorrhage,hypertensive; Neuroendoscope; Neurosurgery procedures
From: Chinese Journal of Neuromedicine 2010;09(9):936-939
CountryChina
Language:Chinese
Abstract: Objective To develop a minimally invasive operating technique for the treatment of hypertensive thalamic hemorrhage. Methods The clinical data of 15 patients with hypertensive thalamic hemorrhage performed neuroendoscope-assisted micro-invasive surgical treatment in our hospitals from July 2007 to June 2010 were retrospectively analyzed; their treatment efficacy were also concluded. Results The mean operation time of these patients was (1.5±0.4) h and the amount of blood loss was 30-40 mL; the mean clearance rate of hematoma in the thalamus was (86.2 ±7.9)percentage. Patients were followed up and evaluated by Glasgow outcome scale for at least 3 months.Three patients (21.4%) showed good recovery, 4 (28.6%) moderate disability, 4(28.6%) severe disability and 2 (14.3%) vegetative survival; 1 patient (7.1%) died. Conclusion Neuroendoscope-assisted micro-invasive surgical treatment is a fast and minimally invasive operating technique with little blood loss in the treatment of hypertensive thalamic hemorrhage.