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高血压性脑出血的内镜治疗:技术综述

Endoscopic treatment of hypertensive intracerebral hemorrhage: A technical review.

作者信息

Zhao Yi-Ning, Chen Xiao-Lei

机构信息

Department of Neurosurgery, Chinese People's Liberation Army General Hospital, Beijing 100853, China.

出版信息

Chronic Dis Transl Med. 2016 Dec 10;2(3):140-146. doi: 10.1016/j.cdtm.2016.11.002. eCollection 2016 Sep.

DOI:10.1016/j.cdtm.2016.11.002
PMID:29063035
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5643758/
Abstract

Hypertensive intracerebral hemorrhage (ICH) is still a highlighting global issue. Endoscopic evacuation as a minimally invasive treatment became an alternative other than conventional craniotomy and catheter drainage for ICH. However, there is no unified indication or standardized procedure on endoscopic treatment of ICH. Here we explored the literature and gathered information from different studies, to review the background, technical points, and existing problems of endoscopic treatment for ICH.

摘要

高血压性脑出血(ICH)仍然是一个突出的全球性问题。内镜下血肿清除术作为一种微创治疗方法,已成为除传统开颅手术和导管引流术之外治疗ICH的另一种选择。然而,对于ICH的内镜治疗,目前尚无统一的适应证或标准化操作流程。在此,我们查阅了相关文献并收集了不同研究的信息,以综述ICH内镜治疗的背景、技术要点及现存问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0963/5643758/11ccec25bf7a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0963/5643758/11ccec25bf7a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0963/5643758/11ccec25bf7a/gr1.jpg

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Surg Neurol Int. 2025 May 23;16:190. doi: 10.25259/SNI_98_2025. eCollection 2025.
2
Endoscopic Hematoma Evacuation Under Local Anesthesia for Acute Intracerebral Hemorrhage in Older Patients: A Case Series.老年患者急性脑出血局部麻醉下内镜血肿清除术:病例系列
Cureus. 2025 Mar 9;17(3):e80307. doi: 10.7759/cureus.80307. eCollection 2025 Mar.
3
Contact neuro-endoscopy-assisted cerebral hematoma evacuation under direct vision.

本文引用的文献

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Image-guided endoscopic surgery for spontaneous supratentorial intracerebral hematoma.影像引导下的内镜手术治疗自发性幕上脑内血肿。
J Neurosurg. 2017 Sep;127(3):537-542. doi: 10.3171/2016.7.JNS16932. Epub 2016 Sep 16.
2
iPhone-Assisted Augmented Reality Localization of Basal Ganglia Hypertensive Hematoma.基于iPhone辅助的基底节区高血压性血肿增强现实定位技术
World Neurosurg. 2016 Oct;94:480-492. doi: 10.1016/j.wneu.2016.07.047. Epub 2016 Jul 20.
3
Fully Endoscopic Freehand Evacuation of Spontaneous Supratentorial Intraparenchymal Hemorrhage.
直视下接触式神经内镜辅助脑血肿清除术。
Front Surg. 2024 Mar 7;11:1351291. doi: 10.3389/fsurg.2024.1351291. eCollection 2024.
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Endoscopic surgery versus craniotomy in the treatment of spontaneous intracerebral hematoma: a systematic review and meta-analysis.内镜手术与开颅手术治疗自发性脑内血肿的比较:一项系统评价和荟萃分析。
Chin Neurosurg J. 2022 Nov 25;8(1):36. doi: 10.1186/s41016-022-00304-1.
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Effects of mild hypothermia therapy combined with minimally invasive debridement in patients with hypertensive intracranial hemorrhage: a randomized controlled study.轻度低温治疗联合微创清创术治疗高血压性脑出血患者的疗效:一项随机对照研究。
Am J Transl Res. 2021 Jul 15;13(7):7997-8003. eCollection 2021.
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Short-term outcomes of endoscopic evacuation of supratentorial spontaneous intracerebral hematoma: Early experience from developing country.幕上自发性脑内血肿内镜清除术的短期预后:来自发展中国家的早期经验
Surg Neurol Int. 2021 Jun 28;12:309. doi: 10.25259/SNI_118_2021. eCollection 2021.
7
A new surgical method of treatment spontaneous intracranial hemorrhage.一种治疗自发性颅内出血的新手术方法。
Transl Neurosci. 2021 Apr 20;12(1):145-153. doi: 10.1515/tnsci-2020-0164. eCollection 2021 Jan 1.
8
Significance of endoscopic hematoma evacuation in elderly patients with spontaneous putaminal hemorrhage.内镜下血肿清除术在老年自发性壳核出血患者中的意义
Surg Neurol Int. 2021 Mar 30;12:121. doi: 10.25259/SNI_872_2020. eCollection 2021.
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Clinical Value of 3D-Printed Navigation Technology Combined with Neuroendoscopy for Intracerebral Hemorrhage.3D 打印导航技术联合神经内镜在脑出血中的临床价值。
Transl Stroke Res. 2021 Dec;12(6):1035-1044. doi: 10.1007/s12975-021-00893-6. Epub 2021 Jan 25.
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Urokinase, a promising candidate for fibrinolytic therapy for intracerebral hemorrhage.尿激酶,一种有前途的用于脑出血的纤维蛋白溶解治疗的候选药物。
J Neurosurg. 2017 Feb;126(2):548-557. doi: 10.3171/2016.1.JNS152287. Epub 2016 Apr 22.
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J Neurosurg. 2015 Nov;123(5):1151-5. doi: 10.3171/2014.11.JNS141508. Epub 2015 Jun 5.