Endoscopic assisted surgery for 60 cases of hypertensive intracerebral hemorrhage.docVIP

 PAGE \* MERGEFORMAT 10 Endoscopic assisted surgery for 60 cases of hypertensive intracerebral hemorrhage [Keywords:] cerebral hemorrhage intracerebral hematoma endoscope Hypertensive cerebral hemorrhage with surgical treatment for some time more, the current surgical methods are more procedure-related complications and postoperative mortality is not one. With the development of endoscope technology and equipment, our department since January 2004 ~ 2008 In January of 60 cases of hypertensive cerebral hemorrhage Endoscopic surgery practice, and achieved good effect. Materials and Methods 1. General Information The group of 60 patients, 42 males and 18 females. Aged 49 to 80 years, mean 64.2 years old. There were 52 patients with history of hypertension, no history of hypertension in 8 patients, 5 cases of higher than normal blood pressure on admission, and the other 3 cases of clinical and intraoperative cerebral vascular disease and the exclusion of other considerations hypertensive cerebral hemorrhage. 2. Bleeding site and the amount of bleeding Lateral putamen (including the putamen and external capsule) in 22 cases, medial putamen (including the globus pallidus and internal capsule) in 14 cases, 5 cases under the cortex, thalamus 9; of which 12 cases with hematoma ruptured into the ventricle. Tada hematoma volume by the formula ( / 6 long axis short axis level number) calculated the amount of intracerebral hemorrhage in this group was 30 ~ 90 ml, of which 30 ~ 39 ml 6 , 40 ~ 49ml 14 , 50 ~ 59 ml 20 patients, 60 ~ 69 ml 8 , 70 ml or more in 12 cases. 3. Clinical disease classification Chinese Medical Association by 1981 special academic session of cerebrovascular hypertensive cerebral hemorrhage four condition grading standards [1] to grade: 9 cases, grade 40 cases, in 11 cases. Preoperative GCS score, 9 to 12 points in 18 cases, 6 to 8 minutes and 36 cases, 4 to 5 points in 6 cases. 4. Surgical methods The group of 6 ~