冠状缝前入路神经内镜手术与经侧裂入路血肿清除手术治疗基底节区高血压脑出血的效果对比  

Comparison on the Effects of Neuroendoscopic Surgery Through Anterior Coronal Suture Approach and Hematoma Removal Through Lateral Fissure Approach in the Treatment of Hypertensive Intracerebral Hemorrhage in Basal Ganglia Region

作　　者：曹廷亮 吴恒浩 张圣旭 张万宏 CAO Tingiang;WU Henghao;ZHANG Shengxu;ZHANG Wanhong(Department of Neurosurgery,Kaifeng Central Hospital,Kaifeng 475000,China)

机构地区：[1]开封市中心医院神经外科,河南开封475000

出　　处：《临床医学工程》2024年第8期905-906,共2页Clinical Medicine & Engineering

基　　金：河南省医学科技攻关计划联合共建项目(LHG20210832)。

摘　　要：目的对比冠状缝前入路神经内镜手术与经侧裂入路血肿清除手术治疗基底节区高血压脑出血(HICH)的临床效果。方法80例基底节区HICH患者根据治疗方法的不同分为A组(冠状缝前入路神经内镜手术)和B组(经侧裂入路血肿清除手术),比较两组的手术指标、神经功能、并发症。结果A组的切口长度、术中出血量、手术时间、住院时间、术后6个月的NIHSS评分、术后并发症总发生率均低于B组,血肿清除率高于B组(P<0.05)。结论冠状缝前入路神经内镜手术治疗基底节区HICH患者可明显提高血肿清除率,改善神经功能,降低并发症发生风险。Objective To compare the clinical effects of neuroendoscopic surgery through anterior coronal suture approach and hematoma removal through lateral fissure approach in the treatment of hypertensive intracerebral hemorrhage(HICH)in basal ganglia region.Methods 80 patients with HICH in basal ganglia region were divided into group A(neuroendoscopic surgery through anterior coronal suture approach)and group B(hematoma removal through lateral fissure approach)according to different treatment methods.The surgical indicators,neurological function and complications were compared between the two groups.Results The incision length,intraoperative blood loss amount,operation time,hospitalization time,NIHSS score at 6 months after surgery and total incidence of postoperative complications in group A were lower than those in group B,and the hematoma clearance rate was higher than that in group B(P<0.05).Conclusions Neuroendoscopic surgery through anterior coronal suture approach in the treatment of patients with HICH in basal ganglia region can obviously improve hematoma clearance rate,improve neurological function and reduce the occurrence risk of complications.

关 键 词：冠状缝前入路神经内镜手术 经侧裂入路血肿清除手术 基底节区 高血压脑出血 

分 类 号：R743.2[医药卫生—神经病学与精神病学]