神经内镜下手术与传统开颅术治疗高血压基底节区脑出血的效果  

Exploration on the effect of neuroendoscopic surgery and traditional craniotomy in the treatment of hypertensive intracerebral hemorrhage in the basal ganglia

作　　者：陈祥[1] Chen Xiang(Department of Neurosurgery,the People's Hospital of Funing County,Jiangsu Yancheng 224400)

机构地区：[1]阜宁县人民医院神经外科,江苏盐城224400

出　　处：《中国社区医师》2021年第25期54-55,共2页Chinese Community Doctors

摘　　要：目的:探讨不同术式治疗高血压基底节区脑出血的临床疗效。方法:2018年2月-2020年2月收治高血压基底节区脑出血患者58例,随机分为两组,各29例。对照组接受传统开颅术,研究组接受神经内镜下手术。比较两组临床疗效。结果:研究组格拉斯哥预后量表(GOS)优良率高于对照组,差异有统计学意义(P<0.05);研究组术后日常生活能力量表(ADL)评分高于对照组,差异有统计学意义(P<0.05);研究组住院时间、术中失血量、手术时间及术后2周水肿量均低于对照组,血肿清除率高于对照组,差异均有统计学意义(P<0.05)。结论:与传统开颅术相比,在高血压基底节区脑出血治疗中应用神经内镜下手术的优势明显,可改善围术期指标水平及预后效果,缩短住院时间,降低术后2周水肿量,治疗效果理想。Objective:To explore the clinical effects of different surgical methods for the treatment of hypertensive intracerebral hemorrhage in the basal ganglia.Methods:From February 2018 to February 2020,58 patients with hypertensive intracerebral hemorrhage in the basal ganglia were selected,they were randomly divided into the two groups with 29 cases in each group.The control group received traditional craniotomy.The study group received neuroendoscopic surgery.We compared the clinical efficacy of the two groups.Results:The excellent and good rate of GOS in the study group was significantly higher than that in the control group,the difference was statistically significant(P<0.05).The postoperative ADL score of the study group was higher than that of the control group,the difference was statistically significant(P<0.05).The hospital stay,intraoperative blood loss,operation time and edema volume 2 weeks after operation in the study group were lower than those in the control group,and the hematoma clearance rate was higher than that in the control group,the differences were statistically significant(P<0.05).Conclusion:Compared with traditional craniotomy,the application of neuroendoscopic surgery in the treatment of hypertensive intracerebral hemorrhage in the basal ganglia has significant advantages.It can improve the level of perioperative indicators and prognosis,shorten the hospital stay,and reduce the amount of edema 2 weeks after operation,the treatment effect is ideal.

关 键 词：高血压基底节区脑出血 传统开颅术 神经内镜下手术 效果评价 

分 类 号：R651.1[医药卫生—外科学]