精准定位下内镜治疗高血压基底核出血疗效及安全性分析  

Efficacy and Safety of Endoscopy in the Treatment of Hypertensive Basal Nucleus Hemorrhage

作　　者：宋武超[1] SONG Wu-chao(Neurosur. gery Department,The Third People’s Hospital of Zhengzhou,Zhengzhou,450000,China)

机构地区：[1]郑州市第三人民医院神经外科

出　　处：《黑龙江医学》2019年第6期585-586,589,共3页Heilongjiang Medical Journal

摘　　要：目的探究精准定位下内镜治疗高血压基底核出血的疗效及安全性。方法回顾分析2015年1月—2017年5月期间郑州市第三人民医院收治的50例高血压基底核出血患者的治疗资料,根据手术方法分为试验组与对照组,每组例数均等,试验组采用精准定位下神经内镜微创手术治疗,对照采用传统开颅手术治疗。分别观察两组患者术中指标(手术所需时间、术中出血量)、住院所需时间、血肿清除率、临床治疗效果、GCS评分。结果试验组手术所需时间、术中出血量、住院所需时间、GCS评分均低于对照组[(68.21±20.81)min<(167.25±26.84)min;(48.62±1.33)ml<(264.28±17.28)ml;(11.97±1.74)d<(21.46±1.82)d;(21.92±1.53)分<(36.94±1.32)分];血肿清除率、临床治疗总有效率均高于对照组[(91.01±7.58)%>(86.21±5.12)%;96.00%>68.00%],差异有统计意义(P<0.05)。结论在精准定位下行神经内镜微创手术治疗高血压基底核出血利于改善手术指标,提升血肿清除率以及治疗效果,值得临床广泛推广应用。Objective To investigate the efficacy and safety of endoscopy in the treatment of hypertensive basal nucleus hemor rhage. Methods 50 patients with hypertensive basal nucleus hemorrhage in The Third People’s Hospital of Zhengzhou from January, 2015 to May,2017 were retrospectively analyzed. According to the operative methods,the patients were divided into experimental group and control group,with equal number of cases in each group. The experimental group were treated with endoscopy minimally invasive surgery under precise positioning,while the control group were treated with traditional craniotomy. The intraoperative indexes (operative time and intraoperative blood loss),hospitalization time,hematoma clearance rate and GCS score were observed in the two groups. Results The time required,intraoperative bleeding volume,hospitalization time and GCS score of the experimental group were lower than those in the control group [(68.21±20.81)min<(167.25±26.84)min,(48.62±1.33)ml<(264.28±17.28)ml,(11.97±1.74)d<(21.46±1.82)d;(21.92±1.53)scores<(36.94±1.32)scores]. The hematoma clearance rate and the total effective rate of clinical treatment were higher than those in the control group [(91.01±7.58)>(86.21±5.12);96.00%>68.00%],P<0.05. Conclusion Endoscopic minimally invasive neurosurgery for hypertensive basal nucleus hemorrhage is beneficial to improve the surgical index,and improve the hematoma clearance rate and therapeutic effect. So it is worthy of extensive clinical application.

关 键 词：神经内镜微创手术 高血压 基底核出血 开颅手术 

分 类 号：R651.1[医药卫生—外科学]