神经内镜手术治疗高血压性脑出血的疗效分析  

Effect of neuroendoscopic surgery on hypertensive cerebral hemorrhage

作　　者：钟琪[1] 何林[2] 刘平[1] 郑燎原 ZHONG Qi;HE Lin;LIU Ping;ZHENG LIAO-yuan(Department of Neurosurgery,Mianyang Municipal Central Hospital,Mianyang 621000,China;Department of Rehabilitation,Mianyang Municipal Central Hospital,Mianyang 621000,China)

机构地区：[1]绵阳市中心医院神经外科,四川621000 [2]绵阳市中心医院康复科,四川621000

出　　处：《中国临床神经外科杂志》2020年第2期91-93,共3页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨神经内镜手术治疗高血压性脑出血的疗效。方法回顾性分析2016年1月至2017年1月收治的100例高血压性脑出血的临床资料,50例采用开颅血肿清除术(对照组),50例采用神经内镜手术(观察组)。结果与对照组相比,观察组手术时间明显缩短(P<0.05),术中出血量明显减少(P<0.05),血肿清除率明显提高(P<0.05),术后血清TNF-α、IL-6、PCT明显降低(P<0.05)。观察组术后3个月预后良好率(74.00%,37/50)明显高于对照组(40.00%,20/50;P<0.05)。结论与开颅血肿清除相比,神经内镜手术治疗高血压性脑出血的疗效更好。Objective To investigate the effect of neuroendoscopic surgery on hypertensive cerebral hemorrhage.Methods The clinical data of 100 patients with hypertensive cerebral hemorrhage treated from January 2016 to January 2017 were retrospectively analyzed.Of 100 patients,50 patients were treated with craniotomy(control group)and 50 were treated with neuroendoscopic surgery(observation group).The curative effects and the postoperative serum levels of tumor necrosis factor-α(TNF-α),interleukin-6(IL-6)and procalcitonin(PCT)were compared between both groups.Results Compared with the control group,the operation time significantly decreased(P<0.05),the intraoperative blood loss significantly reduced(P<0.05),and the rate of hematoma clearance significantly increased(P<0.05)in the observation group.The serum levels of TNF-,IL-6 and PCT in the observed group after the operation were significantly lower than those in the control group(P<0.05).The rate of good prognosis(74.00%,37/50)in the observation group at 3 months after the operation was significantly higher than that(40.00%,20/50)in the control group(P<0.05).Conclusion Compared with the craniotomy,neuroendoscopic surgery is more effective in treating hypertensive cerebral hemorrhage.

关 键 词：高血压性脑出血 神经内镜手术 开颅血肿清除术 疗效 

分 类 号：R743.34[医药卫生—神经病学与精神病学] R651.12[医药卫生—临床医学]