神经内镜和常规开颅手术治疗高血压脑出血的优劣分析  被引量:1

Advantages and disadvantages of treatment of hypertensive cerebral hemorrhage with neuroendoscope and conventional craniotomy

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作  者:刘剑波[1] LIU Jianbo(Neurosurgery department, Huizhou Central People's Hospital,Huizhou 516001,China)

机构地区:[1]惠州市中心人民医院神经外科,惠州516001

出  处:《广州医药》2018年第6期37-39,44,共4页Guangzhou Medical Journal

摘  要:目的比较分析神经内镜和常规开颅手术在治疗高血压脑出血时的优劣。方法回顾性分析我院神经外科2015年12月1日—2017年12月31日收治的60例高血压脑出血患者,根据治疗术式的不同,分为对照组和观察组,各30例。对照组行常规开颅手术,观察组给予神经内镜治疗,通过对比两组患者的手术时长、术中出血量、血肿清除率、住院时间、术后并发症及术后6个月随访效果,分析两组优劣。结果观察组手术时长短于对照组,差异有统计学意义(P<0.05);观察组术中出血量少于对照组,差异有统计学意义(P<0.05);观察组血肿清除率高于对照组,差异有统计学意义(P<0.05);观察组术后并发症(颅内感染、肺部感染)发生率低于对照组,差异有统计学意义(P<0.05),而两组再次出血及死亡率差异均有统计学意义(P>0.05);观察组患者术后预后效果优于对照组,差异有统计学意义(P<0.05)。结论神经内镜在治疗高血压脑出血时对比常规开颅手术具有显著缩短手术时长及住院时间,提高血肿清除率,减少术中出血,降低颅内及肺部感染率等优势,值得临床推广应用。Objective To compare and analyze the advantages and disadvantages of neuroendoscopy and conventional craniotomy in the treatment of hypertensive intracerebral hemorrhage.Methods60patients with hypertensive intracerebral hemorrhage admitted to our hospital from December1,2015to December31,2017were divided into the control group and the observation group,each with30cases.The control group underwent conventional craniotomy,and the observation group underwent neuroendoscopic treatment.The length of operation,intraoperative blood loss,hematoma clearance,length of hospital stay,postoperative complications,and follow-up after6months were compared between the two groups,to analysis the advantages and disadvantages of both groups.Results The duration of operation in the observation group was shorter than that in the control group(P<0.05).The intraoperative blood loss in the observation group was less than that in the control group(P<0.05);The hematoma clearance rate in the observation group was higher than that in the control group(P<0.05);The incidence of postoperative complications(intracranial infection,lung infection)in the observation group was lower than that of the control group(P<0.05).There was no statistically significant in rebleeding and mortality between the two groups(P>0.05).The prognosis of the observation group was better than that of the control group.In the control group,the difference was statistically significant(P<0.05).Conclusion Neuroendoscope in the treatment of hypertensive intracerebral hemorrhage compared with conventional craniotomy may shorten the length of operation and hospital stay,improve hematoma clearance rate,reduce intraoperative bleeding,reduce intracranial and pulmonary infection and other advantages.It is worthy of clinical promotion and application.

关 键 词:开颅手术 神经内镜 高血压 脑出血 

分 类 号:R651.12[医药卫生—外科学] R544.1[医药卫生—临床医学]

 

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