Abstract：Objective: To explore the effect of endoscopically-assisted lateral fissure surgery on hypertensive cerebral hemorrhage in basal ganglia region and the influence of patients' NIHSS score. Methods: 88 patients with hypertensive cerebral hemorrhage in basal ganglia region admitted to our hospital from January 2016 to January 2018 were selected and randomly divided into two groups. The control group was treated by transcortical microneurosurgical technique, and the research group was treated by translateral fissure surgery under endoscopy. The postoperative state, NIHSS score and surgical indicators of the two groups were compared. Result: the postoperative status, NIHSS score and surgical index of the study group were better than those of the control group (P<0.05). Conclusion: During the treatment of hypertensive intracerebral hemorrhage in basal ganglia region, endoscope-assisted surgery through lateral fissure has a significant effect, reducing the incidence of adverse reactions, high patient satisfaction and treatment compliance. Therefore, this method should be widely used.
冯屹, 李斌, 谭卫, 汪洋, 李传伟, 钟文, 钟伟. 内镜辅助下经外侧裂手术对基底节区高血压性脑出血的效果及患者NIHSS评分的影响[J]. 河北医学, 2019, 25(5): 755-758.
FENG Wei, LI Bin, TAN Wei, et al. Effects of Endoscopically-assisted Lateral Fissure Surgery on Hypertensive Cerebral Hemorrhage in Basal Ganglia Region and NIHSS Score. HeBei Med, 2019, 25(5): 755-758.
[1] 林楠,周建新,韩如泉.轻度镇静对幕上占位病人神经功能的影响与头部磁共振表现的相关因素分析[J].首都医科大学学报,2017,38(2):313~319. [2] 姚晓辉,张世渊,成睿,等.神经导航及内镜下小骨窗治疗高血压脑出血[J].国际神经病学神经外科学杂志,2017,44(5):455~458. [3] Almeida J P, Ruiztrevino A S, Shetty S R, et al. Transorbital endoscopic approach for exposure of the sylvian fissure, middle cerebral artery and crural cistern: an anatomical study.[J]. Acta Neurochirurgica, 2017, 159(10):1~15. [4] Qu Y, Ren B, Chang X, et al. Morphologic study of superior temporal sulcus-amygdaloid body and lateral fissure-amygdaloid body surgical approach by using magnetic resonance imaging volume rendering.[J]. Journal of Craniofacial Surgery, 2016, 27(1):177~180. [5] 刘林,杨福兵,李昊.蕲蛇酶注射液能有效治疗基底节区的脑出血患者[J].基因组学与应用生物学,2017,75(6):2282~2287. [6] 杜波,楷文,樊俊,等.神经内镜通道内操作技术治疗脑实质内出血[J].中华神经外科杂志,2016,32(7):687~690. [7] 孙丰兵,李轶,荆朝晖,等.SolitaireAB型支架机械取栓治疗急性缺血性卒中[J].中国急救医学,2016,36(12):103~106.
2019, Vol. 25 
冀公网安备13080202000677号