神经内镜手术与显微手术治疗高血压性脑出血破入脑室的临床探讨  

Clinical Discussion on Neuroendoscopic Surgery and Microsurgery for Hypertensive Cerebral Hemorrhage Ruptured into the Ventricle

作　　者：杨泗华 房秀友[1] 王放 YANG Sihua;FANG Xiuyou;WANG Fang(Department of Neurosurgery,Ganyu District People's Hospital,Lianyungang,Jiangsu Province,222100 China)

机构地区：[1]江苏省连云港市赣榆区人民医院神经外科,江苏连云港222100

出　　处：《世界复合医学》2023年第11期171-174,共4页World Journal of Complex Medicine

摘　　要：目的探讨神经内镜手术、显微手术应用于高血压性脑出血破入脑室患者中的治疗效果。方法随机选取2019年1月—2023年1月江苏省连云港市赣榆区人民医院收治的80例高血压性脑出血破入脑室患者为研究对象。按不同手术方法分为对照组和观察组,各40例。对照组进行显微手术,观察组进行神经内镜手术。比较两组患者在院期间的恢复情况、并发症,于术后半年对比其预后效果。结果观察组的脑室留置管时间、住院时间短于对照组,脑室内血肿清除率高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。观察组预后良好率为92.50%(37/40)高于对照组的75.00%(30/40),差异有统计学意义(χ^(2)=4.501,P<0.05)。结论治疗高血压性脑出血破入脑室时可优先考虑神经内镜手术,这是因为比显微手术术后恢复速度更快,可有效清除脑室内血肿、预防并发症发生,远期疗效更理想。Objective To explore the therapeutic effects of neuroendoscopic surgery and microsurgery in patients with hypertensive cerebral hemorrhage ruptured into the ventricle.Methods A total of 80 patients with hypertensive cerebral hemorrhage broken into the ventricle admitted to Ganyu District People's Hospital of Lianyungang City,Jiangsu Province from January 2019 to January 2023 were randomly selected as the research objects.According to different surgical methods,they were divided into control group and observation group with 4 cases in each group.The control group underwent microsurgery,and the observation group underwent neuroendoscopic surgery.The recovery and complications during hospitalization were compared between the two groups,and the prognosis effect was compared half a year after operation.Results The intraventricular indwelling catheter time and hospitalization time of the observation group were shorter than those of the control group,while the clearance rate of intraventricular hematoma was higher than those of the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The good prognosis rate of the observation group was 92.50%(37/40),which was higher than 75.00%(30/40)of the control group,and the difference was statistically significant(χ^(2)=4.501,P<0.05).Conclusion Neuroendoscopic surgery can be prioritized in the treatment of hypertensive cerebral hemorrhage ruptured into the ventricle,this is because of faster postoperative recovery than microsurgery,effective removal of intraventricular hematomas,prevention of complications,and more satisfactory long-term efficacy.

关 键 词：神经内镜手术 显微手术 高血压性脑出血破入脑室 临床疗效 

分 类 号：R4[医药卫生—临床医学]