经眉弓锁孔入路完全神经内镜下手术治疗外伤性额叶血肿的疗效
Efficacy of fully endoscopic surgery through trans-eyebrow keyhole approach for patients with traumatic frontal hematoma
王璨 1周龙 2蔡强 2陈谦学 2喻军华1
作者信息
- 1. 436000 湖北,鄂州市中心医院神经外科
- 2. 430060 武汉,武汉大学人民医院神经外科
- 折叠
摘要
目的 探讨经眉弓锁孔入路完全神经内镜下手术治疗外伤性额叶血肿的疗效.方法 回顾性分析2022年1月至2022年12月经眉弓锁孔入路完全神经内镜下手术治疗的7例外伤性额叶血肿的临床资料.结果 入院时GCS评分6～13分,平均(10.4±2.7)分;出血量30～40 ml,平均(37.9±3.9)ml.骨窗大小约2 cm×3 cm;手术时间62～80 min,平均(70.3±6.1)min.出院时,6例GCS评分15分,1例13分.出院后随访1年,1例术后9个月出现癫痫发作,口服丙戊酸钠缓释片控制良好,其余6例正常生活.结论 经眉弓锁孔入路完全内镜下手术治疗外伤性额叶血肿具有微创、高效、操作方便等优点,但需严格把握适应证,对脑疝病人不适用.
Abstract
Objective To investigate the efficacy of fully endoscopic surgery through trans-eyebrow keyhole approach for patients with traumatic frontal hematoma.Methods The clinical data of 7 patients with traumatic frontal hematoma treated by fully endoscopic surgery through trans-eyebrow keyhole approach from January 2022 to December 2022 were retrospectively analyzed.Results The GCS score of 7 patients ranged from 6 to 13 points at admission,with an average of(10.4±2.7)points;the volume of hemotoma was 30～40 ml,with an average of(37.9±3.9)ml.The bone window size was about 2 cm×3 cm;the surgical time was 62～80 min,with an average of(70.3±6.1)min.At discharge,6 patients had a GCS score of 15,and 1 had a score of 13.After outpatient follow-up for 1 year,1 patient had a seizure 9 months after surgery,which was well controlled by oral levetiracetam.The other 6 patients had normal lives.Conclusions Fully endoscopic surgery through trans-eyebrow keyhole approach for patients with traumatic frontal hematoma has the advantages of minimally invasive,efficient,and convenient operation,but strict indications should be followed,and it is not suitable for patients with brain herniation.
关键词
颅脑损伤/额叶血肿/神经内镜手术/经眉弓锁孔入路/疗效Key words
Traumatic brain injury/Traumatic frontal hematoma/Fully endoscopic surgery/Trans-eyebrow keyhole approach/Efficacy引用本文复制引用
基金项目
鄂州市科技计划项目(基础研究与人才创新专项)(EZ01-007-20230076)
出版年
2024
NETL
NSTL
万方数据