神经内镜辅助手术治疗高血压脑出血的效果观察  

Effect observation of neuroendoscopy assisted surgery treatment for hypertensive intracerebral hemorrhage

作　　者：李炳森[1] 关健雄[1] 

机构地区：[1]广东省开平市中心医院,广东开平529300

出　　处：《中国当代医药》2013年第35期178-179,共2页China Modern Medicine

摘　　要：目的探讨神经内镜辅助手术治疗高血压脑出血的临床效果。方法将102例患者根据手术方式的不同分为观察组(n=60)和对照组(n=42),观察组采用神经内镜辅助手术治疗,对照组采用传统开颅血肿清除术治疗。结果观察组患者的手术时间短于对照组,术中出血量少于对照组(P<0.05);观察组预后良好率为76.7%,死亡率为5.0%,对照组预后良好率为47.6%,死亡率为21.4%,观察组预后良好率明显高于对照组(P<0.05),死亡率明显低于对照组(P<0.05)。结论神经内镜辅助手术治疗高血压脑出血能够缩短手术时间、减少术中出血量、提高临床疗效,值得临床推广。Objective To investigate the clinical effects of neuroendoscopy assisted surgery treatment for hypertensive intracerebral hemorrhage. Methods 102 patients were divided into observation group （n=60） and control group （n=42） on the basis of different surgical approaches.Neuroendoscopy assisted surgery was used in observation group;and conventional clearance of hematoma by craniotomy was used in control group. Results Operation time in observation group was shorter than that of the control group and the intraoperative blood loss of observation group was lower than that of the control group （P〈0.05）;The favorable prognosis rate of observation group was 76.7%,and mortality rate was 5.0%. And,favorable prognosis rate of control group was 47.6%,and mortality rate was 21.4%.Favorable prognosis rate of observation group was obviously higher than that of control group （P〈0.05）,and its mortality rate was obviously lower than that of control group （P〈0.05）. Conclusion Neuroendoscopy assisted surgery for hypertensive intraeerebral hemorrhage can decrease operation time and intraoperative blood loss,and improve the clinical effects.It is worthy of clinical application.

关 键 词：高血压脑出血 神经内镜 手术 

分 类 号：R743.34[医药卫生—神经病学与精神病学]