Endoscopic evacuation of putaminal hemorrhage: how to improve the efficiency of hematoma evacuation

被引：48

作者：

Hsieh, PC ^{[1
]}

Cho, DY ^{[1
]}

Lee, WY ^{[1
]}

Chen, JT ^{[1
]}

机构：

[1] China Med Univ Hosp, Dept Neurosurg, Taichung, Taiwan

来源：

SURGICAL NEUROLOGY | 2005年 / 64卷 / 02期

关键词：

putaminal hemorrhage; endoscopes; hematoma; hypertension; craniotomy; computed tomography; stereotactic radiosurgery;

D O I：

10.1016/j.surneu.2004.11.028

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background: A unique method of evacuation of hypertensive putaminal hemorrhage (HPH) using a stainless steel tube as a corridor under the assistance of a rigid endoscope is described. A simplified method to determine the precise location for burr hole placement is also reported. Methods: From May 2003 to April 2004, 9 patients with HPH underwent endoscopic surgery in our hospital. Two different entry sites (temporal and frontal) were used to approach the hematoma in our series. Results: The hematoma evacuation rate was more than 90% (median 93%) with the frontal approach and 84% with the temporal approach. Conclusions: Using a combination of a stainless steel tube, rigid endoscope, and coagulation suction with a frontal approach can facilitate optimal evacuation of HPH. (c) 2005 Elsevier Inc. All rights reserved.

引用

页码：147 / 153

页数：7

共 9 条

[1] ENDOSCOPIC SURGERY VERSUS MEDICAL-TREATMENT FOR SPONTANEOUS INTRACEREBRAL HEMATOMA - A RANDOMIZED STUDY [J].