神经内窥镜微创小骨窗手术与标准开颅治疗在脑出血治疗中的应用  

The Application of Minimally Invasive Small Bone Window Surgery and Standard Craniotomy in the Treatment of Cerebral Hemorrhage

作　　者：陈凤英 李小青 王学蛟[1] 蒋凤凤 CHEN Fengying;LI Xiaoqing;WANG Xuejiao;JIANG Fengfeng(The Third People's Hospital of Datong,Datong 037046,Shanxi,China)

机构地区：[1]大同市第三人民医院,山西大同037046

出　　处：《系统医学》2024年第22期45-48,共4页Systems Medicine

摘　　要：目的探讨脑出血患者分别采用神经内窥镜微创小骨窗手术与标准开颅治疗的效果。方法非随机选取大同市第三人民医院于2019年1月—2022年12月收治的80例脑出血患者为研究对象,依据不同的手术方式将其分为两组,每组40例。对照组行传统开颅血肿清除术治疗,观察组行神经内窥镜下微创小骨窗开颅血肿清除术治疗,对比两组的总有效率、手术时间、术中出血量、预后及并发症总发生率。结果观察组的总有效率为97.50%(39/40),高于对照组的80.00%(32/40),差异有统计学意义(χ^(2)=4.507,P<0.05)。观察组的手术时间、术中出血量以及预后情况均优于对照组,差异有统计学意义(P均<0.05)。观察组的并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论对于脑出血患者而言,神经内窥镜微创小骨窗手术可提供较为理想的治疗效果,在减少术中出血量、降低并发症发生率、改善预后方面均有积极作用。Objective To investigate the effect of minimally invasive neuroendoscopic small bone window surgery and standard craniotomy in patients with cerebral hemorrhage.Methods A total of eighty patients with cerebral hemorrhage admitted to the Third People's Hospital of Datong City from January 2019 to December 2022 were non-randomly selected as the study objects and divided into two groups according to different operations,with forty cases in each group.The control group was treated with traditional craniotomy hematoma removal,and the observation group was treated with minimally invasive craniotomy hematoma removal with small bone window under neuroendoscope.The total effective rate,operative time,intraoperative blood loss,prognosis and total complication rate of the two groups were compared.Results The total effective rate of the observation group was 97.50%(39/40),which was higher than 80.00%(32/40)of the control group,the difference was statistically significant(χ^(2)=4.507,P<0.05).The operation time,intraoperative blood loss and prognosis of the observation group were better than those of the control group,and the differences were statistically significant(all P<0.05).The total incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion For patients with intracerebral hemorrhage,neuroendoscopic minimally invasive small bone window surgery can provide ideal therapeutic effect,and has positive effects on reducing intraoperative blood loss,reducing the incidence of complications and improving prognosis.

关 键 词：脑出血 神经内窥镜微创小骨窗手术 传统开颅血肿清除术 神经功能缺损程度 

分 类 号：R651[医药卫生—外科学]