神经内镜治疗高血压基底核区出血（附32例分析）

目的总结神经内镜治疗高血压基底核区出血的手术经验。方法回顾性分析32例高血压脑基底核区出血病人的内镜手术临床资料。均采用自制透明内镜导管、固定装置，行单纯神经内镜下微创颅内血肿清除术。结果术后24h行头颅CT复查．显示血肿清除率为92％-96％，平均93．6％；术后无颅内感染、脑积水及死亡发生。术后随访3个月GOS评分：5分12例，4分16例，3分3例，2分1例。结论神经内镜手术清除基底核区出血具有微创、直视等优点；采用自制透明内镜导管及固定装置，使内镜清除血肿更具优越性。

Endoscopic surgery for hypertensive basal ganglia hemorrhage: analysis of 32 cases

Objec five To summarize the experience of neuroendoscopic surgery for hypertensive basal ganglia hemorrhage. Methods Experiences in 32 patients with hypertensive basal ganglia hemorrhages were analyzed retrospectively. All the patients underwent minimally invasive intracranial hematoma evacuation with self-made transparent endoscopic catheter and nut-locking device under a neuroendoscope. Results Brain computed tomography scan 24 hours after surgery revealed that the hematoma evacuation rate was 92%-96% （median 93.6%）. No intracranial infection, hydrocephalus and death were observed after the surgery in all the cases. All the patients were followed up for 3 months. According to GOS, the result was excellent in 12 cases, good in 16, fare in 3, poor in 1. Condusion Neuroendoscopic surgery is a minimally invasive and effective procedure with direct-vision, and application of self-made transparent endoscopic catheter and nut-locking device can enhance the therapeutic effect ofneuroendoscopic surgery.