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頁籤選單縮合
題名 | Removal of Putaminal Hemorrhage by Endoscopy=高血壓性背殼出血之腦內視鏡手術 |
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作者 | 陳春忠; 周德陽; 張正修; 陳榮宗; 李文源; 李漢忠; Chen, Chun-chung; Cho, Der-yang; Chang, Cheng-siu; Chen, Jung-tsung; Lee, Wen-yuan; Lee, Han-chung; |
期刊 | 中臺灣醫學科學雜誌 |
出版日期 | 20050600 |
卷期 | 10:2 2005.06[民94.06] |
頁次 | 頁84-89 |
分類號 | 416.291 |
語文 | eng |
關鍵詞 | 內視鏡; 顱內出血; 微侵襲性手術; Endoscopy; Intracerebral hemorrhage; Minimally invasive surgery; |
中文摘要 | 目的:我們以一不繡鋼金屬套管結合腦內視鏡來移除高血壓性背殼出血之血塊,並評估其效果。 方法:從2004年12月到2004年4月,共八位病人接受手術。我們採用一個簡單的方法來定位血塊並決定內視鏡手術鑽孔的位置。在手術中,我們分別採取兩種不同的位置(額部和顳部)來當作內視鏡手術鑽孔的位置。 結果:從額部拿取之血塊清除率超過90%(平均92%),而從顳部拿取之血塊清除率則只有66%,且所有病人且皆末發生併發症。 結論:以不鏽鋼金屬套管結合腦內視鏡來移除高血壓性背殼出血之血塊,是可行的。且從額部拿取能增進血塊清除率。 |
英文摘要 | Purpose: Endoscopic surgery for evacuating intracranial hemorrhage (ICH) is a minimally invasive method, hut is relatively inefficient for evacuating hematoma. To improve the efficiency of endoscopic surgery, we used a stainless steel tube as an endoscope sheath, combined with a working channel endoscope to evacuate hypertensive putaminal hematoma. Methods: From January 2004 to April 2004, eight patients with putaminal hematoma were treated by endoscopic surgery in our hospital. During surgery, we experimented with two different entry sites (temporal and frontal) to approach the hematomas. Results: There were no surgical complications. The hematoma evacuation rate via the frontal approach was greater than 90% (median 92%) while the rate via the temporal approach was 66%. Conclusions: A working channel endoscope combined with a stainless steel endoscopic sheath via a frontal burr hole approach can faciltate the evacuation of putaminal hematoma in endoscopic surgery. |
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