摘要目的 总结自制神经内镜辅助器械治疗高血压性脑室出血的手术经验.方法 选择无锡市第三人民医院神经外科自2006年1月至2009年5月收治的22例高血压性脑室出血患者,采用本科自制神经内镜辅助手术器械进行神经内镜下手术治疗.结果 术后24 h复查头颅CT,脑室血肿清除率大于90%(平均92.7%);未发生继发性出血,无颅内感染及脑积水发生.术后6个月GOS评分,5分9例,4分8例,3分3例,2分1例,1分1例.结论 神经内镜结合自制辅助器械清除脑室出血具有微创、直视、血肿清除率高等优点,能有效减少并发症,改善患者预后.

abstractsObjective To summarize the experience of surgery for hypertensive intraventricular hemorrhage with self-made neuroendoscope-assisted equipments. Methods Twenty-two patients with ventricular hemorrhage, admitted to our hospital from January 2006 to May 2009, were chosen; surgery with self-made neuroendoscope-assisted equipments was performed on them. Results CT 24 h after the surgery showed that the clearance rate of intraventrieular hematoma was higher than 90% (median 92.7%). No hydrocephalus, postoperative intracranial infection or secondary hemorrhage appeared in all the patients. All patients were followed up for 6 months. According to GOS, the result was excellent in 9 patients, good in 8, fare in 3, poor in 1 and dead in 1. Conclusion Endoscopic surgery for ventricular hemorrhage with self-made neuroendoscope-assisted equipments is minimally invasive and effective with direct-vision, low complication and effective hemorrhage evacuation;it also improves good neurological outcomes.