慢性扩展性脑内血肿的微创治疗

目的:探讨应用立体定向神经内窥镜手术治疗慢性扩展性脑内血肿的方法。方法:应用立体定向神经内窥镜对11例慢性扩展性脑内血肿做了血肿及其包膜的切除手术。结果:手术均获成功,血肿包膜全切除9例,大部切除2例,无手术并发症及死亡,术后6～12个月随访血肿无复发。结论:立体定向神经内窥镜手术治疗慢性扩展性脑内血肿具有定位准确、术野清晰可视,微创安全有效,术后恢复快等优点。

The microtraumatic treatment of chronic expanding intracerebral hematoma

Objective To explore the operation method of chronic expanding intracerebral hematoma with stereotactic and neuroendoscopy. Method The evacuation of hematoma and excision of capsule by stereotactic and neuroendoscopy were done with ll patients with CEICH, Results The operations were all successful, the capsules of hematoma with 9 cases were total excision, and 2 cases were subtotal excision, There were no operation death and complication. Following-up from 6 to 12 months after operation hematoma was not recurrent. Conclusion Stereotactic and neuroendoscopy for CEICH has the advantages of precise location, high-resolution of operational field, microtraumatic and on the safe side.