Stereotactic endoscopic evacuation of spontaneous hypertensive hemorrhage of the basal ganglia
10.3760/cma.j.issn.1671-8925.2015.08.005
- VernacularTitle:立体定向辅助神经内镜治疗基底节区高血压脑出血
- Author:
Ming GUO
1
;
Chen YAO
;
Chuncheng GUAN
;
Qingshi HOU
Author Information
1. 汕头大学附属粤北人民医院神经外科
- Keywords:
Hypertensive intracerebral hemorrhage;
Neuroendoscopy;
Stereotaxis
- From:
Chinese Journal of Neuromedicine
2015;14(8):780-783
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical efficacy and indications of stereotactic endoscopic evacuation in spontaneous hypertensive hemorrhage of the basal ganglia.Methods Twelve patients with spontaneous hypertensive hemorrhage of the basal ganglia,admitted to our hospital from October 2012 to October 2013,were treated by stereotactic endoscopic hematoma evacuation.Their clinical data were collected and retrospectively analyzed.Results Mean operative time was (1.6±0.5) h.Postoperative CT showed that 4 received evacuation of 70％-90％ of hematomas,and 8 did 90％.No intracerebral hemorrhage recurred in the patients.The follow up for 6 months after the operation was performed in 12 patients;according to Glasgow outcome scale scores,the excellent curative effects were achieved in 3 patients,good ones in 4,fare ones in 4 and death in one.Conclusion Stereotactic endoscopic hematoma evacuation enjoys characteristics as precision,minimal invasion,short operation time and high hematoma evacuation.
