高血压脑出血患者应用经内镜微创手术清除颅内血肿的效果及预后观察  

Observation on the effect and prognosis of intracranial hematoma in patients with hypertensive cerebral hemorrhage treated by minimally invasive endoscopic surgery

作　　者：高燕[1] Gao Yan(Department of Neurosurgery,Bayannur Hospital,Bayannur 015000,China)

机构地区：[1]内蒙古自治区巴彦淖尔市医院神经外科,015000

出　　处：《中国实用医刊》2019年第22期48-50,共3页Chinese Journal of Practical Medicine

摘　　要：目的观察高血压脑出血(HCH)患者应用经内镜微创手术清除颅内血肿的效果及预后.方法选择巴彦淖尔市医院2018年1月至8月收治的80例HCH患者,对照组40例,采取开颅血肿清除术治疗,观察组40例,采取经内镜微创手术治疗,比较两组治疗指标与预后.结果术中出血、手术时间与血肿清除率比较,观察组优于对照组(P<0.05);术后GOS评分为1分与4分情况比较,两组差异有统计学意义(P<0.05);与对照组比较,观察组患者术后再出血发生率更小(P<0.05);观察组术后并发症发生率小于对照组(P<0.05).结论HCH患者应用经内镜微创手术治疗,可提高颅内血肿清除效果,改善预后,且具有微创治疗优势.Objective To observe the effect and prognosis of minimally invasive endoscopic surgery for removal of cranial hematoma in patients with hypertensive intracerebral hemorrhage(HCH).Methods Eighty patients with HCH admitted to Bayannur Hospital from January 2018 to August 2018 were selected.The 40 cases in control group were treated with craniotomy hematoma removal.The 40 cases in observation group were treated with minimally invasive endoscopic surgery.The treatment indicators and prognosis were compared between the two groups.Results The bleeding,operation time and hematoma clearance rate in the observation group were better than those in the control group(P<0.05).There was significant difference between the two groups in Glasgow outcome scale(GOS)score of 1 and 4 after operation(P<0.05).Compared with the control group,the incidence of postoperative rebleeding in the observation group was smaller(P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group(P<0.05).Conclusions The application of endoscopic minimally invasive surgery for HCH patients can improve the clearance effect of intracranial hematoma and prognosis,and has the advantage of minimally invasive treatment.

关 键 词：高血压脑出血 内镜 微创手术 颅内血肿清除 预后 

分 类 号：R651.1[医药卫生—外科学]