神经内镜微创术对幕上高血压脑出血患者血肿清除率及预后的影响  

Effect of neuroendoscopic minimally invasive surgery on hematoma clearance rate and prognosis in patients with suprasuperior hypertension cerebral hemorrhage

作　　者：程志刚 熊国平[1] 周于凡 CHENG Zhigang;XIONG Guoping;ZHOU Yufan(Department of Neurosurgery,Fuzhou First People's Hospital,Fuzhou,Jiangxi,344000,China)

机构地区：[1]抚州市第一人民医院神经外科,江西抚州344000

出　　处：《当代医学》2021年第30期87-89,共3页Contemporary Medicine

摘　　要：目的探讨神经内镜微创术治疗幕上高血压脑出血患者的临床疗效。方法回顾性分析2018年2月至2019年6月于本院接受治疗的60例幕上高血压脑出血患者的临床资料,根据药物治疗方案的不同分为对照组(开颅手术,n=30)和观察组(神经内镜微创术,n=30)。比较两组手术临床指标、血肿清除率及预后效果。结果观察组手术时间及入住ICU时间均短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05);观察组血肿清除率及GOS评分均高于对照组,差异有统计学意义(P<0.05)。结论神经内镜微创术治疗幕上高血压脑出血患者效果显著,可有效减少术中出血量,缩短手术时间及术后康复时间,提升血肿清除率,改善患者预后,值得临床推广运用。Objective To investigate the clinical effect of neuroendoscopic minimally invasive surgery on patients with supratentorial hyperten-sive cerebral hemorrhage.Methods The clinical data of 60 patients with supratentorial hypertensive cerebral hemorrhage who received treatment in our hospital from February 2018 to June 2019 were retrospectively analyzed,and they were divided into control group(craniotomy,n=30)and obser-vation group(neuroendoscopic microwound,n=30)according to different drug treatment regimens.The clinical indexes,hematoma clearance rate and prognosis were compared between the two groups.Results The operation time and ICU stay time in the observation group were shorter than those in the control group,and the intraoperative blood loss was less than that in the control group,the difference was statistically significant(P<0.05).The hematoma clearance rate and GOS score were higher than those of the control group,the difference was statistically significant(P<0.05).Conclusion Neuroendoscopic minimally invasive surgery is effective in the treatment of patients with supratentorial hypertensive cerebral hemorrhage.It can effectively reduce intraoperative blood loss,shorten the operation time and postoperative rehabilitation time,improve the hemato-ma clearance rate,and improve the prognosis of patients.It is worthy of clinical application.

关 键 词：幕上高血压脑出血 神经内镜微创术 血肿清除率 预后 

分 类 号：R651.12[医药卫生—外科学]