显微镜下骨瓣开颅血肿清除术与神经内镜微创手术治疗高血压脑内血肿的临床效果分析  

Clinical Effect Analysis of Microscopic Bone Flap Craniotomy for Hematoma Removal and Minimally Invasive Neuroendoscopic Surgery for Hypertensive Intracerebral Hematoma

作　　者：青松 Qing Song(Department of Neurosurgery,Being Shijingshan Hospital Shijingshan Teaching Hospital of Capital Medical University,Beijing 100040,China)

机构地区：[1]首都医科大学石景山教学医院北京市石景山医院神经外科,北京100040

出　　处：《中外医药研究》2023年第3期12-14,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:探讨显微镜下骨瓣开颅血肿清除术与神经内镜微创手术治疗高血压脑内血肿的临床效果。方法:选取2020年6月—2022年6月首都医科大学石景山教学医院北京市石景山医院收治的80例高血压脑内血肿患者作为研究对象,根据随机数字表法分为对照组和研究组,各40例。对照组行显微镜下骨瓣开颅血肿清除术,研究组行神经内镜微创手术。比较两组围术期相关指标,神经功能及预后情况[美国国立卫生在研究院卒中量表(NIHSS)评分、格拉斯哥预后量表(GOS)评分],并发症发生率。结果:研究组手术时间、重症监护室停留时间、住院时间均短于对照组,术中出血量少于对照组,血肿清除率高于对照组,差异有统计学意义(P<0.05);治疗后,研究组NIHSS评分低于对照组,GOS评分高于对照组,差异有统计学意义(P<0.001)。研究组并发症发生率低于对照组,差异有统计学意义(P=0.025)。结论:显微镜下骨瓣开颅血肿清除术与神经内镜微创手术治疗高血压脑内血肿效果显著,但神经内镜微创手术治疗效果更优,可降低并发症发生率,缩短术后恢复时间,改善患者神经功能及预后情况。Objective:To investigate the clinical effect of microscopic bone flap craniotomy for hematoma removal and minimally invasive neuroendoscopic surgery for intracerebral hematoma in hypertension.Methods:Eighty patients with hypertensive intracerebral hematoma admitted to Beijing Shijingshan Hospital,Shijingshan Teaching Hospital of Capital Medical University from June 2020 to June 2022 were selected as study subjects and divided into control group and study group according to the random number table method,with 40 cases each.The control group underwent microscopic bone flap craniotomy for hematoma removal,and the study group underwent neuroendoscopic minimally invasive surgery.The perioperative related indexes,neurological function and prognosis[National Institute of Health in the United States Stroke Scale(NIHSS)score,Glasgow Prognostic Scale(GOS)score],and complication rate were compared between the two groups.Results:The operative time,intensive care unit stay and hospital stay were shorter in the study group than in the control group,the intraoperative bleeding was less than in the control group,and the hematoma clearance rate was higher than in the control group,with statistically significant differences(P<0.05).After treatment,the NIHSS score of the study group was lower than that of the control group,and the GOS score was higher than that of the control group,with statistically significant differences(P<0.001).The complication rate of the study group was lower than that of the control group,and the difference was statistically significant(P=0.025).Conclusion:Microscopic bone flap craniotomy for hematoma removal and minimally invasive neuroendoscopic surgery are effective in treating hypertensive intracerebral hematoma,but minimally invasive neuroendoscopic surgery is more effective,can reduce the incidence of complications,shorten the postoperative recovery time,and improve the neurological function and prognosis of patients.

关 键 词：高血压脑内血肿 显微镜下骨瓣开颅血肿清除术 神经内镜微创手术 

分 类 号：R65[医药卫生—外科学]