内镜微创手术治疗脑出血的临床效果研究  

Clinical Effect of Endoscopic Minimally Invasive Surgery in the Treatment of Intracerebral Hemorrhage

作　　者：梁鑫[1] 陈荣举 付强[2] LIANG Xin;CHEN Rongju;FU Qiang(Department of Neurosurgery,The First People’s Hospital of Shenyang,Shenyang 110041,Liaoning Province,China;Department of Neurosurgery,Shengjing Hospital of China Medical University)

机构地区：[1]沈阳市第一人民医院神经外科,沈阳110041 [2]中国医科大学附属盛京医院神经外科

出　　处：《中国实用乡村医生杂志》2022年第3期60-62,共3页Chinese Practical Journal of Rural Doctor

摘　　要：目的 探讨脑出血患者行内镜微创治疗的临床效果。方法 选取沈阳市第一人民医院神经外科2019年6月—2021年3月收治的76例脑出血患者为研究对象,依据治疗方案不同分为观察组和对照组各38例。观察组患者采用内镜微创术治疗,对照组患者采用开颅血肿清除术治疗。比较两组患者的围手术期指标、住院时间和并发症发生情况,对比治疗前后患者生活能力量表及卒中量表评分。结果 观察组患者的手术时间、术中创伤出血量及住院时间等指标均优于对照组,差异具有统计学意义(P<0.05)。治疗后观察组生活能力量表评分高于对照组,卒中量表评分低于对照组,并发症发生率低于对照组,差异均具有统计学意义(P<0.05)。结论 内镜微创术治疗脑出血,相较于开颅血肿清除术,可改善围手术期指标,降低并发症发生率,提高患者的生活能力,具有临床推广应用价值。Objective To explore the clinical effect of endoscopic minimally invasive treatment in patients with intracerebral hemorrhage. Methods A total of 76 patients with intracerebral hemorrhage treated in our hospital from June 2019 to March 2021 were included in the study. All patients were divided into observation group and control group according to the treatment strategy, with 38 patients in each group. Endoscopic minimally invasive surgery was used in the observation group and craniotomy was used in the control group, respectively. The perioperative indexes, length of stay and incidence of complications were compared between the two groups, and the ADL and NIHSS were compared before and after treatment. Results The indexes of operation time, intraoperative trauma bleeding and hospital stay in the observation group were significantly better than those in the control group(P < 0.05).After treatment, ADL in the observation group was significantly higher than that in the control group(P < 0.05);The score of NIHSS was significantly lower than that of the control group(P < 0.05). The incidence of complications in the observation group was significantly lower than that in the control group(P < 0.05). Conclusion Endoscopic minimally invasive surgery for intracerebral hemorrhage can significantly improve the clinical effect, reduce complications, and significantly improve the living ability and brain injury after treatment. It has the value of clinical popularization and application.

关 键 词：脑出血 手术治疗 内镜微创术 开颅血肿清除术 效果 生活能力 脑损伤 

分 类 号：R743.34[医药卫生—神经病学与精神病学]