精准定位下神经内镜治疗脑室出血的疗效及安全性分析  

Efficacy and safety of precise localization neuroendoscopy in the treatment of intraventricular hemorrhage

作　　者：黄伟[1] 李荣伟 郭凤 傅楚华 冯波[1] 孙立鹏[1] 柳亚岐 徐东宝[1] HUANG Wei;LI Rongwei;GUO Feng(Department of Neurosurgery,Hanzhong Central Hospital,Shanxi,Hanzhong 723000,China;不详)

机构地区：[1]陕西省汉中市中心医院神经外科,723000 [2]陕西省汉中市中心医院妇科,723000 [3]湖北省襄阳市第一人民医院神经外科

出　　处：《临床外科杂志》2021年第10期930-932,共3页Journal of Clinical Surgery

基　　金：陕西省卫生健康科研基金项目(2018C003)。

摘　　要：目的探讨采用精准定位下神经内镜治疗脑室出血的疗效以及安全性。方法我院2018年4月~2019年12月收治的脑室出血病人82例,根据治疗方法分为内镜组和引流组,内镜组41例,采用精准定位下神经内镜微创术,引流组41例,采用传统脑室外穿刺引流术,比较两组引流管留置时间、住院时间、48小时后血肿清除率、并发症、死亡情况、炎症因子水平。结果与引流组对比,内镜组术后48小时后血肿清除率更高[(91.24±4.94)%vs(81.21±4.73)%],引流管留置时间[(3.54±0.93)天vs(4.27±1.06)天]、住院时间[(10.34±1.97)天vs(15.49±2.28)天]更少,术后并发症更少(4.88%vs 19.51%),两组比较差异有统计学意义(P<0.05)。结论精准定位下神经内镜术治疗脑室出血疗效好,安全性好。Objective To investigate the clinical efficacy and safety of precise positioning neuroendoscopy in the treatment of intraventricular hemorrhage.Method 82 patients with intraventricular hemorrhage admitted to the neurosurgery department of Hanzhong Central Hospital and the neurosurgery department of Xiangyang first people's Hospital from April 2018 to December 2019 were selected and divided into endoscopic group and drainage group.The endoscopic group was treated with precise positioning neuroendoscopic minimally invasive surgery(n=41 cases),while the drainage group was treated with traditional extraventricular puncture and drainage(n=41 cases).The indwelling time of drainage tube,hospital stay,hematoma clearance rate after 48 hours,complications,death and inflammatory factor levels were compared between the two groups.Results Compared with the drainage group,the clearance rate of hematoma 48 hours after operation in the endoscopic group was higher[(91.24±4.94)%vs(81.21±4.73)%](P<0.05).The indwelling time[(3.54±0.93)d vs(4.27±1.06)d]and hospitalization time[(10.34±1.97)d vs(15.49±2.28)d]of drainage tube were less,and the postoperative complications(4.88%vs 19.51%)were less(P<0.05).Conclusion Accurate positioning neuroendoscopy is effective and safe in the treatment of ventricular hypertensive hemorrhage.

关 键 词：神经内镜微创手术 脑室出血 疗效 安全性 

分 类 号：R651.1[医药卫生—外科学]