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个月,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。
Objective To evaluate the clinical value of midfrontal keyhole approach for the treatment of severe intra- ventricular hematoma. Methods The clinical data of 21 cases of severe intraventricular hemorrhage through midfrontal key- hole approach were analyzed retrospectively. Results Both inside and outside intraventricular hematoma were satisfied cleared. The GCS score and intraventricular hemorrhage Graeb score were improved. There were complications after opera- tion including 1 patient with diffuse brain swelling, 3 patients with cerebral vasospasm, 1 patient with intracranial infection, and seven patients with pulmonary infection. Follow-up schedules included 1-6 months. According to ADL score, 5 patients recovered well, 9 patients were moderately disabled, 3 were severely disabled, 1 was in a vegetative state and 3 died. Conclu- sion The intraventricular hematoma can be removed through midfrontal keyhole approach. The obstructive hydrocephalus can be relieved, the secondary brain damage was reduced and the prognosis was improved in patients.
出处
《天津医药》
CAS
北大核心
2014年第2期179-181,共3页
Tianjin Medical Journal
关键词
脑出血
脑室
显微外科手术
额
血肿
引流术
cerebral hemorrhage
cerebral ventricles
microsurgery
forehead
hematoma
drainage
