B超引导神经内镜微创手术治疗高血压性脑出血的临床效果  

Clinical effect of B-type ultrasound guided neuroendoscopic minimally invasive surgery in treating hypertensive cerebral hemorrhage

作　　者：郭勇[1] 毛燕丽[1] 胡李琪 梁丹[1] 黎红丽 GUO Yong;MAO Yanli;HU Liqi;LIANG Dan;LI Hongli(Department of Ultrasound Imaging,Tongcheng County People′s Hospital, Xianning,Hubei 437400,China)

机构地区：[1]湖北省咸宁市通城县人民医院超声影像科,437400

出　　处：《检验医学与临床》2018年第6期757-760,共4页Laboratory Medicine and Clinic

基　　金：湖北省社会发展科技攻关项目(2015SF030)

摘　　要：目的探讨B超引导神经内镜微创手术治疗高血压性脑出血的临床效果。方法将150例高血压性脑出血患者随机分成两组,分别为B超引导神经内镜微创手术治疗的研究组75例,开颅血肿清除术治疗的对照组75例。研究组采用B超引导神经内镜微创手术治疗,对照组则接受开颅血肿清除术治疗。对两组患者的格拉斯哥预后(GOS)优良率、血肿清除率、术中失血量、颅内压变化及格拉斯哥昏迷(GCS)评分、并发症发生率进行比较。结果治疗后两组患者的GOS优良率及血肿清除率明显高于治疗前,差异有统计学意义(P<0.05);与对照组相比,研究组术中失血量明显减少,差异有统计学意义(P<0.05)。治疗后两组患者的颅内压明显低于治疗前,差异有统计学意义(P<0.05);且研究组患者治疗后的颅内压明显优于对照组,差异有统计学意义(P<0.05)。治疗后两组患者的GCS评分明显高于治疗前,差异有统计学意义(P<0.05);且研究组患者治疗后的GCS评分显著高于对照组,差异有统计学意义(P<0.05)。治疗后研究组患者并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论 B超引导神经内镜微创手术治疗高血压性脑出血的疗效显著,具有较高的应用价值。Objective To investigate the clinical effect of B-type ultrasound guided neuroendoscopic minimally invasive surgery in treating hypertensive cerebral hemorrhage.Methods One hundred and fifty cases of hypertensive cerebral hemorrhage were randomly divided into two groups,75 cases were treated by B-type ultrasound guided neuroendoscopic minimally invasive surgery(study group)and 75 cases were treated by craniotomy hematoma removal operation(control group).The study group adopted B-type ultrasound guided neuroendoscopic minimally invasive surgery,while the control group received craniotomy hematoma removal treatment.The excellent rate of GOS,hematoma clearance rate,intraoperative blood loss volume,intracranial pressure change,GCS score and complication occurrence rate were compared between the two groups.Results The excellent rate of GOS and hematoma clearance rate after treatment in the two groups were significantly higher than those before treatment,the differences were statistically significant(P<0.05);compared with the control group,intraoperative blood loss volume in the study group was significantly reduced,the difference was statistically significant(P<0.05).The intracranial pressure after treatment in the two groups was significantly lower than that before treatment,the difference was statistically significant(P<0.05);and the intracranial pressure after treatment in the study group was significantly better than that in the control group,the difference was statistically significant(P<0.05).The GCS score after treatment in the two groups was significantly higher than that before treatment,the difference was statistically significant(P<0.05);moreover the GCS score after treatment in the study group was significantly higher than that in the control group,the difference was statistically significant(P<0.05).The occurrence rate of complications after treatment in the study group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion B-type ultrasound

关 键 词：高血压性脑出血 神经内镜 微创手术 B超 

分 类 号：R743.2[医药卫生—神经病学与精神病学]