神经内镜微创术对高血压脑出血患者的血肿清除率及疗效分析  

Analysis of hematoma clearance rate and clinical efficacy in patients with hypertensive intracerebral hemorrhage by neuroendoscopic minimally invasive surgery

作　　者：王高强 付兵舰[2] WANG Gaoqiang;FU Bingjian(Xuchang Second People's Hospital,Xuchang 461000,China;Jiaozuo People's Hospital,Jiaozuo 454000,China)

机构地区：[1]许昌市第二人民医院,河南许昌461000 [2]焦作市人民医院,河南焦作454000

出　　处：《中国实用神经疾病杂志》2020年第10期872-875,共4页Chinese Journal of Practical Nervous Diseases

基　　金：河南省医学科技攻关计划项目(编号:2018020924)。

摘　　要：目的分析神经内镜微创手术对高血压脑出血患者的血肿清除率及临床疗效。方法选取高血压脑出血患者80例,随机分为对照组与研究组各40例,对照组给予对照组常规开颅手术进行血肿清除,研究组采用神经内镜微创手术进行血肿清除。对比2组患者Glasgow评分、血肿清除率,以及术后并发症发生状况。结果2组GlasgowⅠ级、Ⅳ级占比差异无统计学意义(P>0.05),研究组GlasgowⅡ级、Ⅲ级占比显著低于对照组,Ⅴ级占比高于对照组(P<0.05)。研究组血肿清除率高于对照组,手术耗时、术中出血量、术后ICU时间等均优于对照组(P<0.05)。研究组患者硬膜下积液、脑积水、疼痛等并发症发生率较对照组低(P<0.05)。结论在高血压脑出血患者治疗中,神经内镜微创手术的临床治疗效果显著,相对于传统开颅手术的血肿清除率更高,术中出血量更少,手术时间更短,利于神经功能的改善,安全可靠。Objective To analyze the hematoma clearance rate and clinical efficacy of neuroendoscopic minimally invasive surgery in patients with hypertensive intracerebral hemorrhage.Methods Eighty patients with hypertensive intracerebral hemorrhage admitted to our hospital were randomly divided into two groups,the control group and the study.In the clinical treatment,the patients in the control group were given routine craniotomy for hematoma clearance.The study group was given neuroendoscopic minimally invasive surgery for hematoma clearance.The Glasgow score,the hematoma clearance rate and the clinical indicators of the two groups were compared and the postoperative complications were compared.Results There was no significant difference in the incidence of GlasgowⅠandⅣbetween the two groups(P>0.05).The incidence of GlasgowⅡandⅢin the study group was significantly lower than that in the control group,and the probability ofⅤwas higher than that in the control group(P<0.05).The clearance rate was higher than that of the control group.The time of operation,intraoperative blood loss and postoperative ICU time were better than the control group(P<0.05).The study group had complications such as subdural effusion,hydrocephalus and pain.The incidence was lower than the control group(P<0.05).Conclusion In the treatment of patients with hypertensive cerebral hemorrhage,the clinical treatment effect of neuroendoscopic minimally in vasive surgery is significant.Compared with traditional craniotomy,the hematoma clearance rate is higher,the intraoperative blood loss is less,and the operation time is shorter,which is beneficial to nerve function Improve,safe and reliable.

关 键 词：高血压脑出血 神经内镜 微创手术 开颅手术 血肿清除率 

分 类 号：R743.34[医药卫生—神经病学与精神病学]