[1]阮航 杨国平 罗明 段发亮 闵强 张严国.经额部和经颞部入路导航辅助下内镜手术治疗高血压性基底节区出血的对比分析[J].中国临床神经外科杂志,2017,(10):693-694697.[doi:10.13792017.09/j.issn.1009-153X.2017.10.007]
　RUAN Hang,YANG Guo-ping,LUO Ming,et al.Neuroendoscopic surgery under neuronavigation guidance for hypertensive basal ganglia hemorrhage: frontal appraoch vs.temporal approach[J].,2017,(10):693-694697.[doi:10.13792017.09/j.issn.1009-153X.2017.10.007]
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经额部和经颞部入路导航辅助下内镜手术治疗高血压性基底节区出血的对比分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2017年10期
页码:
693-694697
栏目:
论著
出版日期:
2017-10-25

文章信息/Info

Title:
Neuroendoscopic surgery under neuronavigation guidance for hypertensive basal ganglia hemorrhage: frontal appraoch vs.temporal approach
文章编号:
1009-153X（2017）10-0693-02
作者:
阮航 杨国平 罗明 段发亮 闵强 张严国
515041 广东汕头，汕头大学医学院第一附属医院神经外科
Author(s):
RUAN Hang;  YANG Guo-ping;  LUO Ming;  DUAN Fa-liang;  MIN Qiang;  ZHANG Yan-guo.
Department of Neurosurgery, The FirstHopital of Wuhan City, Wuhan 430022, China
关键词:
高血压性脑出血; 基底节; 神经导航; 神经内镜; 手术; 经额入路; 经颞入路; 疗效
Keywords:
Hypertensive cerebral hemorrhage;  Basal ganglia;  Surgery;  Neuroendoscopy;  Neuronavigation;  Frontal approach; Temporal approach
分类号:
R 743.34; R 651.1+2
DOI:
10.13792017.09/j.issn.1009-153X.2017.10.007
文献标志码:
A
摘要:
目的比较经额部和经颞部入路导航辅助下内镜手术治疗高血压性基底节区出血的临床疗效。方法回顾性分析2011年1月至2016年6月导航辅助下内镜手术治疗的60例高血压性基底节区出血的临床资料，28例采用经额入路（经额组），32例采用经颞入路（经颞组）。术后3个月采用GOS评分评估预后。结果经额组手术时间[（83±27）min]和经颞组手术时间[（81±30）min]无显著差异（P>0.05）。经额组血肿清除率[（88±11）%]明显高于经颞组[（79±19）%；P<0.05]。经额组预后良好率（67.86%；GOS评分4~5分）明显高于经颞组（40.63%；P<0.05）。结论神经导航辅助下内镜手术治疗高血压性基底节区出血时，经额入路相对于经颞入路可以提高血肿清除率，改善预后，是较优的手术入路。
Abstract:
Objective To explore the clinical effects of neuroendoscopic surgery via frontal approach and temporal approachunder neuronavigation guidance on hypertensive basal ganglia hemorrhage (HBGH). Methods The clinical data of 60 patients withHBGH, of whom, 28 underwent neuroendoscopic surgery via frontal approach (frontal group) under neuronavigation guidance and 32 viatemporal approach (temporal group) from January, 2011 to June, 2016, were analyzed retrospectively. Results There was no significantdifference in the operation duration between both the frontal group [(83±27) min] and temporal group [(81±30) min] (P>0.05). The rate ofhematoma evacuation and good prognosis were significantly higher in frontal group [(88±11)% and 67.8% respectively] than those intemporal group [(79 ± 19)% and 40.63% respectively] (P<0.05). Conclusions The rate of hematoma evacuation can be enhanced and theprognosis can be improved by neuroendoscopic surgery via the frontal approach under neuronavigation guidance in the patients withHBGH 3 months after the operation

参考文献/References:

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备注/Memo

备注/Memo:
作者单位：515041 广东汕头，汕头大学医学院第一附属医院神经外科（杨森源、陈俊琛、陈煜、李勇、赖润龙）通讯作者：赖润龙，E-mail：lairlong@sina.com
更新日期/Last Update: 1900-01-01