目的:探讨神经内镜辅助经胼胝体-穹窿间入路治疗重症脑室出血铸型的方法与疗效.方法:神经内镜辅助下经胼胝体-穹窿间入路治疗重症脑室出血铸型31例,观察引流情况与预后.结果:死亡3例,植物生存1例,重残5例,中残14例,良好8例;引流时间最短3d,最长6d,平均4.5d.结论:神经内镜辅助经胼胝体-穹窿间入路清除积血快,减压彻底,并发症少,预后较好,为治疗重症脑室出血铸型可选择的有效方法之一.%Objective : To introduce and explore the method and effects of Neuroendoscope-assisted treatment for severe ventricular hemorrhage cast via transcallosal-interforniceal approach.Methods : After 31 cases of Neuroendoscope-assisted treatment for severe ventricular hemorrhage cast via transcallosal-interforniceal approach, observe drainage and prognosis.Results : Death in 3 case, vegetative state in 1 case,severe disability in 5 case ,moderate disability in 14 cases , recovery in 8 cases ; the minimal duration of drainage was 3 days and maximal duration was 6 days , mean was 4.5 days.Conclusion : With Neuroendoscope assistance via transcallosal-interforniceal approach, accumulated blood is removed quickly and pressure is eliminated completely with few complications and good prognoses.This treatment is one of the effective therapies for severe ventricular hemorrhage cast.
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