精准定位颞叶血肿后锁孔神经内镜下血肿清除的临床效果

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Abstract Objective To analyze the curative effect of minimally invasive surgery to remove hematoma under keyhole neuroendoscope after precise localization of temporal lobe hematoma. Methods Retrospective analysis was performed on the clinical data of 40 patients with spontaneous temporal lobe hematoma who were admitted to South Branch of Fujian Provincial Hospital from May 2015 to May 2019. They were divided into endoscopic group (20 cases) and traditional group (20 cases) according to different surgical methods. In the endoscopic group, the keyhole without sleeve was used as the working channel after precise positioning, and the hematoma was cleared by minimally invasive surgery under neuroendoscopy. While the traditional group was treated by traditional experiential craniotomy microscope. The operation and prognosis situations at 6 months were compared between the two groups. Results The hematoma clearance rate of the endoscopic group was higher than that of the traditional group, the operative time of the endoscopic group was shorter than that of the traditional group, the intraoperative blood loss of the endoscopic group was less than that of the traditional group, the differences were statistically significant (P＜0.05). The incidence of large area cerebral infarction in the endoscopic group (10.0%) was not significantly different from that in the traditional group (20.0%) (P＞0.05).Comparison of prognosis situation 6 months after operation between the two groups showed no statistically significant difference (P＞0.05). Conclusion For spontaneous temporal lobe hematoma, neuroendoscopic surgery after precise location does not require sleeve as a working channel, which has positive efficacy, safety and less bleeding, and is worthy of promotion.

Key words： Spontaneous temporal lobe hematoma Location Keyhole Minimally invasive neuroendoscopic surgery

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	ZHENG Peng-feng
	WEI De

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ZHENG Peng-feng,WEI De. Clinical effect of hematoma clearance under keyhole neuroendoscope after precise location of temporal lobe hematoma[J]. 中国当代医药, 2020, 27(28): 71-74.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2020/V27/I28/71

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