CT引导下神经内窥镜微侵袭手术在高血压脑出血治疗中的应用  

Application of CT-guidedneuroendoscopic microinvasive surgery to the treatment of patients with hypertensive intracerebral hemorrhage

作　　者：王慧 李晓鹏 WANG Hui;LI Xiaopeng(Ward I of Neurological Department,the 1st Affiliated Hospital of Henan University,Kaifeng 475000,China)

机构地区：[1]河南大学第一附属医院神经内科一病区,河南开封475000

出　　处：《华夏医学》2021年第5期119-123,共5页Acta Medicinae Sinica

基　　金：开封市科技发展计划项目(2003042)。

摘　　要：目的:研究CT引导下神经内窥镜微侵袭手术在高血压脑出血(HICH)治疗中的应用。方法:选取74例HICH患者作为研究对象,采用随机数表法将其分为对照组和观察组。对照组采用小骨窗开颅血肿清除术,观察组采用CT引导下神经内窥镜微侵袭手术。观察两组患者术前及术后1个月的神经功能及患者术后并发症发生情况。结果:术后1个月,两组患者NIHSS评分均下降,观察组低于对照组,差异具有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:CT引导下神经内窥镜微侵袭手术可降低HICH患者并发症发生率,促进患者神经功能恢复。Objective:To study the application effect of CT-guided neuroendoscopic microinvasive surgery on the treatment of patients with hypertensive intracerebral hemorrhage(HICH).Methods:74 patients with HICH were selected as the research subjects,and were randomized into the control group and an observation group,each with 37 cases.The control group were treated with small bone window craniotomy,while the observation group were treated with CT-guided neuroendoscopic microinvasive surgery.The neurological function before operation and 1 month after operation,and the occurrence of postoperative complications of patients was compared between the two groups.Results:One month after operation,NIHSS score of patients in both groups was decreased,and the observation group’s NIHSS score was lower than that of the control group,with significant differences(P<0.05);and the incidence of complications in the observation group was lower than that in the control group,with a statistical difference(P<0.05).Conclusion:CT-guided neuroendoscopic microinvasive surgery can reduce the incidence of complications and promote the recovery of neurological function in patients with HICH.

关 键 词：高血压脑出血 CT引导 神经内窥镜微侵袭手术 神经功能 

分 类 号：R651.1[医药卫生—外科学]