急性内镜下血肿清除术能否改善自发性脑出血患者的预后？

Does acute endoscopic evacuation improve the outcome of patients with spontaneous intracerebral hemorrhage?

作者信息

Auer L M, Ascher P W, Heppner F, Ladurner G, Boné G, Lechner H, Tölly E

出版信息

Eur Neurol. 1985;24(4):254-61. doi: 10.1159/000115804.

Abstract

A new endoscopic technique is presented, which allows burr hole evacuation of intracerebral hematomas under video control. Clot removal is achieved using a suction-irrigation system built in the 6-mm-diameter endoscope; in addition, an ultrasonic morcellement device has been developed for transendoscopic application. Small bleeding vessels in the hematoma cavity can be coagulated using a 1.5 mm Neodym YAG Laser microprobe introduced through the endoscope under visual control. A randomized prospective study has been started to raise again the question of indications for the surgical treatment of intracerebral hemorrhages, comparing medical treatment with the new surgical technique.

摘要

介绍了一种新的内镜技术，该技术可在视频控制下经颅骨钻孔清除脑内血肿。使用内置在直径6毫米的内窥镜中的抽吸冲洗系统清除血凝块；此外，还开发了一种用于经内镜应用的超声粉碎装置。血肿腔内的小出血血管可在视觉控制下通过内窥镜插入的1.5毫米钕钇铝石榴石激光微探头进行凝固。一项随机前瞻性研究已经启动，再次提出脑出血手术治疗的适应症问题，将药物治疗与新的手术技术进行比较。