神经内镜下手术治疗小脑出血与显微镜下开颅手术的疗效对比研究  

Comparative study on the efficacy of neuroendoscopic surgery and microscopic craniotomy in the treatment of cerebellar hemorrhage

作　　者：蒋敏 张入丹 王剑波 吴小波[1] 耿保伟 张轶行 廖鹏 JIANG Min;ZHANG Rudan;WANG Jianbo;WU Xiaobo;GENG Baowei;ZHANG Yixing;LIAO Peng(Department of Neurosurgery,Chongqing University Fuling Hospital,Chongqing 408000,China)

机构地区：[1]重庆大学附属涪陵医院神经外科,重庆408000

出　　处：《重庆医学》2023年第20期3137-3141,共5页Chongqing medicine

基　　金：国家重点研发计划数字诊疗装备研发重点专项(2017YFC0111900)。

摘　　要：目的比较分析小脑出血病例采用神经内镜下清除血肿手术与显微镜下开颅血肿清除手术的效果。方法连续纳入2017年1月至2020年1月该院神经外科收治的小脑出血病例65例,其中显微镜下开颅血肿清除手术组41例,神经内镜手术组24例。统计患者的基线资料、临床资料并加以分析,进行随访。结果两组性别、年龄、术前格拉斯哥(GCS)评分、血肿量、破入脑室患者数差异均无统计学意义(P>0.05);两组手术时间、重度水肿率、枕部皮瓣下积液率差异有统计学意义(P<0.05);两组平均血肿清除率、预后良好率差异均无统计学意义(P>0.05)。结论神经内镜下清除血肿和显微镜下清除血肿均是治疗小脑出血的有效方法,两种手术方式治疗小脑出血均能取得良好效果。Objective To compare and analyze the effect of neuroendoscopic hematoma removal surgery and microscopic craniotomy hematoma removal surgery in patients with cerebellar hemorrhage.Methods A total of 65 cases of cerebellar hemorrhage admitted to the Department of Neurosurgery of the hospital from January 2017 to January 2020 were continuously included,including 41 cases in the microscopic craniotomy hematoma removal surgery group and 24 cases in the neuroendoscopic surgery group.The baseline data and clinical data of the patients were analyzed and followed up.Results There was no significant difference in gender,age,preoperative GCS score,hematoma volume and broken into the ventricle between the two groups(P>0.05).There were significant differences in operation time,severe edema rate and effusion rate under occipital flap between the two groups(P<0.05).Conclusion Neuroendoscopic removal of hematoma and microscopic removal of hematoma are both effective methods for the treatment of cerebellar hemorrhage.Both surgical methods can achieve good results in the treatment of cerebellar hemorrhage.

关 键 词：小脑出血 手术 神经内镜 显微 颅骨切开术 

分 类 号：R651.12[医药卫生—外科学]