神经内镜硬通道微创治疗基底节区高血压脑出血的效果及安全性  

Efficacy and Safety of Neuroendoscopy Hard Channel Minimally Invasive Treatment of Hypertensive Cerebral Hemorrhage in Basal Ganglia Region

作　　者：火旭其 HUO Xuqi(Department of Neurosurgery,Yancheng Third People's Hospital,Yancheng 224000,China)

机构地区：[1]盐城市第三人民医院神经外科,江苏盐城224000

出　　处：《中国医学创新》2024年第4期37-41,共5页Medical Innovation of China

摘　　要：目的:分析基底节区高血压脑出血采取神经内镜硬通道微创治疗的临床效果和安全性。方法:收集2020年1月—2023年1月盐城市第三人民医院接诊的80例基底节区高血压脑出血患者,采取随机法将患者分为两组,一组应用小骨窗开颅血肿清除术进行治疗,共40例为对照组,另一组应用神经内镜硬通道微创治疗,共40例为研究组。对比两组各项手术指标、神经缺损功能及并发症发生率。结果:治疗后3个月,研究组的卒中量表评分及格拉斯哥昏迷量表(GCS)评分明显优于对照组,差异均有统计学意义(P<0.05)。研究组住院时间明显短于对照组,血肿清除率明显高于对照组,残留血肿量明显少于对照组,差异均有统计学意义(P<0.05)。研究组手术治疗之后出现并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论:临床中为基底节区高血压脑出血患者提供神经内镜硬通道微创治疗,可以帮助促进患者术后身体康复,有效改善患者的神经缺损功能,减少并发症出现。Objective:To analyze the clinical efficacy and safety of neuroendoscopy hard channel minimally invasive treatment of hypertensive cerebral hemorrhage in basal ganglia region.Method:A total of 80 patients with hypertensive cerebral hemorrhage in the basal ganglia region received in Yancheng Third People's Hospital from January 2020 to January 2023 were collected,and the patients were divided into two groups by random method,one group was treated with small bone window craniotomy hematoma removal,a total of 40 cases as control group,and the other group was treated with neuroendoscopy hard channel minimally invasive,a total of 40 cases as study group.The surgical indexes,nerve defect function and incidence of complications were compared between the two groups.Result:After 3 months of treatment,the stroke scale score and Glasgow coma scale(GCS)score of the study group were significantly better than those of the control group,the differences were statistically significant(P<0.05).The length of hospital stay in the study group was significantly shorter than that in the control group,the clearance rate of hematoma was significantly higher than that in the control group,and the amount of residual hematoma was significantly less than that in the control group,the differences were statistically significant(P<0.05).The incidence of complications after surgical treatment in the study group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:In clinical practice,providing patients with hypertensive cerebral hemorrhage in basal ganglia region with neuroendoscopy hard channel minimally invasive treatment can help promote postoperative physical rehabilitation of patients,effectively improve the neurological defect function of patients,and reduce the occurrence of complications.

关 键 词：基底节区高血压脑出血 神经内镜硬通道微创治疗 神经缺损功能 并发症 

分 类 号：R651.1[医药卫生—外科学]