神经导航辅助内镜手术治疗高血压脑出血的效果  

Effect of Neuronavigation Assisted Endoscopic Surgery in the Treatment of Hypertensive Cerebral Hemorrhage

作　　者：欧阳仲瑞 蔡昭文 黄建兴[1] 江志贤[1] OUYANG Zhongrui;CAI Zhaowen;HUANG Jianxing;JIANG Zhixian(Quanzhou First Hospital,Quanzhou 362100,China;不详)

机构地区：[1]泉州市第一医院,福建泉州362100

出　　处：《中外医学研究》2023年第12期152-155,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析神经导航辅助内镜手术治疗高血压脑出血(HICH)的效果。方法:选取2019年3月—2021年8月泉州市第一医院神经外科收治的100例HICH患者。根据随机数表法将其分为试验组与对照组,各50例。试验组应用神经导航辅助内镜手术治疗,对照组应用传统小骨窗开颅手术治疗。比较两组术前及术后1周昏迷情况及围手术期指标,术后并发症,术前及术后第12周、第24周日常生活能力。结果:两组术前与术后1周昏迷情况比较差异无统计学意义(P>0.05)。试验组皮肤切口长度为(4.32±0.33)cm,短于对照组的(6.43±1.45)cm,差异有统计学意义(P<0.05);试验组术中出血量为(84.89±22.89)mL,少于对照组的(200.02±33.78)mL,差异有统计学意义(P<0.05);试验组住院时间为(14.23±1.69)d,短于对照组的(18.30±4.23)d,差异有统计学意义(P<0.05)。试验组术后并发症发生率显著低于试验组,差异有统计学意义(P<0.05)。术后第12周、24周,试验组日常生活活动能力量表(ADL)评分显著高于对照组,差异有统计学意义(P<0.05)。结论:HICH患者的血肿部位可以通过神经导航辅助内镜手术准确定位,手术微创,出血量少,住院时间短,并发症发生率低,术后康复好。Objective:To analyze the effect of neuronavigation assisted endoscopic surgery in the treatment of hypertensive cerebral hemorrhage(HICH).Method:A total of 100 patients with HICH who admitted to the Department of Neurosurgery in Quanzhou First Hospital from March 2019 to August 2021 were selected.According to the random number table method,they were divided into experimental group and control group,50 cases in each group.The experimental group was treated with neuronavigation assisted endoscopic surgery,and the control group was treated with traditional small bone window craniotomy.The condition of coma before and 1 week after surgery,perioperative indicators,postoperative complications,and the ability of daily living before and the 12th weeks and 24th weeks after surgery were compared between the two groups.Result:There were no significant differences in coma condition between the two groups before and 1 week after surgery(P>0.05).The length of skin incision in the experimental group was(4.32±0.33)cm,which was shorter than(6.43±1.45)cm in the control group,and the difference was statistically significant(P<0.05).The intraoperative blood loss volume of the experimental group was(84.89±22.89)mL,which was less than(200.02±33.78)mL of the control group,and the difference was statistically significant(P<0.05).The hospitalization time of the experimental group was(14.23±1.69)d,which was shorter than(18.30±4.23)d of the control group,and the difference was statistically significant(P<0.05).The incidence of postoperative complications in the experimental group was significantly lower than that in the experimental group,and the difference was statistically significant(P<0.05).The scores of activities of daily living scale(ADL)in the experimental group were significantly higher than those in the control group at the 12th weeks and 24th weeks after surgery,and the differences were statistically significant(P<0.05).Conclusion:The hematoma site of HICH patients can be accurately located by neuronavigation assisted endo

关 键 词：神经导航 高血压脑出血 神经内镜 效果 预后 

分 类 号：R651.1[医药卫生—外科学]