神经内镜手术治疗高血压脑出血破入脑室的临床价值分析  

Clinical Value of Neuroendoscopic Surgery in the Treatment of Hypertensive Intracerebral Hemorrhage into Ventricle

作　　者：封硕 王坤 FENG Shuo;WANG Kun(Department of Neurosurgery,Qingdao West Coast New District People's Hospital,Qingdao,Shandong Province,266400 China)

机构地区：[1]青岛西海岸新区人民医院神经外科,山东青岛266400

出　　处：《世界复合医学》2023年第8期171-174,共4页World Journal of Complex Medicine

摘　　要：目的 探讨对高血压脑出血破入脑室患者给予神经内镜手术治疗后获得临床效果。方法 选取2021年6月—2023年6月青岛西海岸新区人民医院50例高血压脑出血破入脑室患者作为研究对象,以随机数表法作为分组依据,其中施以显微手术治疗的设为参照组(n=25);施以神经内镜手术治疗的设为研究组(n=25)。对比两组患者不同时间段脑室血肿清除率、脑实质血肿清除率、带管时间、手术时间、ICU住院时间、颅内感染率以及预后评分。结果 研究组不同时间段脑室血肿清除率、脑实质血肿清除率较参照组有所提升,差异有统计学意义(P<0.05);研究组带管时间、手术时间、ICU住院时间较参照组有所缩短,差异有统计学意义(P<0.05);研究组颅内感染率较于参照组有所降低,差异有统计学意义(P<0.05);研究组高血压脑出血患者格拉斯哥昏迷评分法(Glasgow Coma Scale, GCS)评分(11.52±2.59)分较参照组(8.89±1.69)分有所提升,差异有统计学意义(t=4.252,P<0.05)。结论 临床对高血压脑出血破入脑室患者合理给予神经内镜手术治疗,对于患者脑室血肿清除率、脑实质血肿清除率提升,颅内感染率降低以及预后水平提升,均可以发挥明显促进作用。Objective To investigate the clinical effect of neuroendoscopic surgery on patients with hypertensive intracerebral hemorrhage(HCH)penetrating into the ventricle.Methods A total of 50 patients with hypertensive intracerebral hemorrhage that had broken into the ventricle during the period from June 2021 to June 2023 in Qingdao West Coast New District People's Hospital were selected as the study objects.Based on the random number table method,all patients were divided into different groups.The group undergoing microsurgery was set as the reference group(n=25),and the group undergoing neuroendoscopic surgery was set as the study group(n=25).The ventricular hematoma clearance rate,parenchymal hematoma clearance rate,catheter time,operation time,ICU stay time,intracranial infection rate and prognosis score were compared between the two groups in different time periods.Results The clearance rate of ventricular hematoma and parenchymal hematoma in the study group was significantly higher than that in the reference group at different time periods,and the difference was statistically significant(P<0.05).The duration of catheter,operation and ICU stay in the study group were significantly shorter than those in the reference group,and the difference was statistically significant(P<0.05).The intracranial infection rate in the study group was significantly lower than that in the reference group,and the difference was statistically significant(P<0.05).The Glasgow Coma Scale(GCS)score of hypertensive intracerebral hemorrhage patients in the study group was significantly higher(11.52±2.59)points than that in the reference group(8.89±1.69)points,and the difference was statistically significant(t=4.252,P<0.05).Conclusion Reasonable neuroendoscopic surgery for patients with hypertensive intracerebral hemorrhage broken into the ventricle can significantly promote the clearance rate of ventricle hematoma and parenchymal hematoma,reduce intracranial infection rate and improve prognosis.

关 键 词：神经内镜手术 高血压脑出血破入脑室 临床价值 

分 类 号：R651.1[医药卫生—外科学]