| 经冠状缝-额中回入路神经内镜手术治疗高血压性基底节区出血的标准化流程分析 |
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| 引用本文： | 陶肆才,熊忠伟,曹长军,周建军,孙宗汉,陈劲草.经冠状缝-额中回入路神经内镜手术治疗高血压性基底节区出血的标准化流程分析[J].中国临床神经外科杂志,2022,27(3):174-177. |
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| 作者姓名： | 陶肆才 熊忠伟 曹长军 周建军 孙宗汉 陈劲草 |
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| 作者单位： | 430071 武汉，武汉大学中南医院神经外科（陶肆才、熊忠伟、曹长军、陈劲草）；432000 湖北孝感，云梦县人民医院神经外科（周建军）；432000 湖北孝感，安陆市普爱医院神经外科（孙宗汉） |
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| 摘 要： | 目的 总结一种简单实施、有效的、标准的经冠状缝-额中回入路神经内镜手术治疗高血压性基底节区出血的标准化流程。方法 回顾性分析2019年4月至2021年4月按统一标准实施的经冠状缝-额中回入路神经内镜手术治疗的48例高血压性基底节区出血的临床资料。术中未使用神经导航及3D-slicer等软件辅助定位。结果 术后24 h内复查头CT显示残余血肿量中位数为2.4（1.1~3.9）ml；血肿清除率中位数为94.0%（90.0%~98.0%）。无术后再出血。出院时GCS评分中位数为13（11~14）分。术后随访6~30个月（中位数15个月），mRS评分0~2分35例，3~4分10例，5~6分3例。结论 神经内镜下经冠状缝-额中回入路手术治疗高血压性基底节区出血是一种简单易行的手术方式，无需神经导航及3D-slicer等软件辅助定位，可以取得良好的手术效果。
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| 关 键 词： | 高血压性脑出血 基底节区 神经内镜 经冠状缝-额中回入路 血肿清除术 标准化流程 |
Standardized procedure of neuroendoscopic surgery via coronal suture-middle frontal gyrus approach for patients with hypertensive basal ganglia haemorrhage |
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| TAO Si-cai,XIONG Zhong-wei,CAO Chang-jun,ZHOU Jian-jun,SUN Zong-han,CHEN Jin-cao..Standardized procedure of neuroendoscopic surgery via coronal suture-middle frontal gyrus approach for patients with hypertensive basal ganglia haemorrhage[J].Chinese Journal of Clinical Neurosurgery,2022,27(3):174-177. |
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| Authors: | TAO Si-cai XIONG Zhong-wei CAO Chang-jun ZHOU Jian-jun SUN Zong-han CHEN Jin-cao |
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| Affiliation: | 1. Department of Neurosurgery, Zhongnan Hospital, Wuhan University, Wuhan 430071, China; 2. Department of Neurosurgery, People`s Hospital of Yunmeng County, Xiaogan 432000, China; 3. Department of Neurosurgery, Anlu Puai Hospital, Xiaogan 432000, China |
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| Abstract: | Objective To summarize a simple-to-use, standardized and effective procedure of neuroendoscopic surgery via middle coronal suture-frontal gyrus approach for the patients with hypertensive basal ganglia haemorrhage (HBGH). Methods The clinical data of 48 patients with HBGH who received neuroendoscopic surgery via coronal suture-middle frontal gyrus approach from April 2019 to April 2021 were analyzed retrospectively. Software-assisted positioning such as neuronavigation and 3D-slicer was not used during the operation. Results CT within 24 hours after operation showed that the median volume of residual hematoma was 2.4 (1.1~3.9) ml, and the median rate of hematoma clearance was 94.0% (90.0%~98.0%). There was no postoperative rebleeding. The median GCS score at discharge was 13 (11~14). Postoperative follow-up (range, 6~30 months; median, 15 months) showed that mRS score of 0~2 was achieved in 35 patients, score of 3~4 in 10, and score of 5~6 in 3. Conclusions Neuroendoscopic surgery via coronal suture-middle frontal gyrus approach for the patients with HBGH is a simple and easy operation. It does not require software-assisted positioning such as neuronavigation and 3D-slicer, and can achieve a good outcome. |
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| Keywords: | Hypertensive basal ganglia haemorrhage Neuroendoscopy Coronal suture-middle frontal gyrus approach |
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