神经内镜微创手术与显微手术治疗高血压性小脑出血的临床效果比较  

Clinical effect comparison of minimally invasive neuroendoscopic surgery and microsurgery in the treatment of hypertensive cerebellar hemorrhage

作　　者：李文生[1] 黄瑞宏[1] LI Wen-sheng;HUANG Rui-hong(Department of Neurosurgery,the Second Hospital of Sanming City,Fujian Province,Sanming366000,China)

机构地区：[1]福建省三明市第二医院神经外科,福建三明366000

出　　处：《中国当代医药》2021年第3期106-108,共3页China Modern Medicine

摘　　要：目的比较神经内镜微创手术与显微手术治疗高血压性小脑出血的临床效果。方法选取2015年1月~2019年12月福建省三明市第二医院收治的82例高血压性小脑出血患者作为研究对象,采用随机数字表法将其分为观察组与对照组,每组各41例。观察组患者采用经神经内镜微创手术治疗,对照组患者采用传统开颅显微镜下血肿清除术治疗。比较两组患者的切口长度、手术操作时长、术中出血量、骨窗面积、住院时间、血肿清除率、术后并发症发生情况及预后情况。结果观察组患者的术中出血量少于对照组,骨窗面积小于对照组,切口长度、手术操作时长及住院时间短于对照组,血肿清除率高于对照组,差异有统计学意义(P<0.05)。观察组患者的术后并发症总发生率低于对照组,差异有统计学意义(P<0.05)。观察组患者的预后良好率高于对照组,差异有统计学意义(P<0.05)。结论应用神经内镜微创手术治疗高血压性小脑出血具有手术耗时短、血肿清除率高、创伤小、出血少等优势,有助于促进神经功能恢复,减少术后并发症,改善预后。Objective To compare the clinical effect of minimally invasive neuroendoscopic surgery and microsurgery in the treatment of hypertensive cerebellar hemorrhage.Methods A total of 82 patients with hypertensive cerebellar hemorrhage who were admitted to the Second Hospital of Sanming City in Fujian Province from January 2015 to December 2019 were divided into the observation group and the control group according to random number table method,with 41 cases in each group.The observation group was treated with minimally invasive neuroendoscopic surgery,and the control group was treated with traditional craniotomy under microscope.The incision length,operation time,intraoperative bleeding,bone window area,hospital stay,hematoma clearance rate,postoperative complications and outcome were compared between the two groups.Results The intraoperative bleeding in the observation group was less than that of the control group,the bone window area was smaller than that of the control group,the length of incision,the operation time and hospitalization time were shorter than those of the control group,the clearance rate of hematoma was higher than that of the control group,and the differences were statistically significant(P<0.05).The total complication rate in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The good rate of prognosis in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Minimally invasive neuroendoscopic surgery for hypertensive cerebellar hemorrhage has the advantages of short operation time,high clearance rate of hematoma,less trauma and less bleeding,which is helpful to promote the recovery of nerve function,reduce postoperative complications and improve prognosis.

关 键 词：高血压性小脑出血 神经内镜 微创手术 临床效果 

分 类 号：R651.1[医药卫生—外科学]