经额入路神经内镜手术与显微镜下开颅血肿清除术治疗脑出血的效果  

Effect of Transfrontal Approach Neuroendoscopic Surgery and Removal Surgery of Craniotomy Hematoma under Microscope in the Treatment of Cerebral Hemorrhage

作　　者：潘鹏 鲍波[1] 邵珠平 于效良 李文化[1] PAN Peng;BAO Bo;SHAO Zhuping;YU Xiaoliang;LI Wenhua(Xuzhou Cancer Hospital,Xuzhou 221000,China;不详)

机构地区：[1]徐州市肿瘤医院,江苏徐州221000

出　　处：《中外医学研究》2025年第1期137-141,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：徐州市卫生健康委科技项目(XWKYHT20210578)。

摘　　要：目的:探究经额入路神经内镜手术与显微镜下开颅血肿清除术治疗脑出血的效果。方法:回顾性分析2020年2月—2024年2月徐州市肿瘤医院收治的82例脑出血患者的临床资料。根据不同的治疗方案将其分为对照组和观察组,各41例。对照组实施显微镜下开颅血肿清除术治疗,观察组实施经额入路神经内镜手术治疗。比较两组围手术期指标,术前及术后3个月的神经功能、日常生活活动能力、认知功能及肢体运动功能,并发症。结果:观察组手术时间和ICU住院时间均短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05)。术后3个月,观察组神经功能缺陷评分(NDS)评分低于对照组,日常生活活动能力量表(ADL)评分高于对照组,差异有统计学意义(P<0.05)。术后3个月,观察组蒙特利尔认知评估量表(MoCA)、Fugl-Meyer肢体运动功能评定量表(FMA)评分均高于对照组,差异有统计学意义(P<0.05)。观察组术后并发症发生率为4.88%,低于对照组的19.51%,差异有统计学意义(P<0.05)。结论:脑出血患者实施经额入路神经内镜手术治疗,可缩短手术时间和ICU住院时间,减少术中出血量,且能够更好地改善其神经功能、认知功能、日常生活能力及运动功能,减少并发症的发生。Objective:To explore the effect of transfrontal approach neuroendoscopic surgery and removal surgery of craniotomy hematoma under microscope in the treatment of cerebral hemorrhage.Method:The clinical data of 82 patients with cerebral hemorrhage admitted to Xuzhou Cancer Hospital from February 2020 to February 2024 were retrospectively analyzed.They were divided into control group and observation group according to different treatment plans,41 cases in each group.The control group was treated with craniotomy hematoma removal surgery under microscope,and the observation group was treated with transfrontal approach neuroendoscopic surgery.Perioperative indexes,neurological function,activities of daily living,cognitive function and limb motor function before and 3 months after surgery,complications were compared between the two groups.Result:The operation time and ICU stay time of the observation group were shorter than those of the control group,and the intraoperative blood loss volume was less than that of the control group,the differences were statistically significant(P<0.05).Three months after surgery,the neurological deficit score(NDS)of the observation group was lower than that of the control group,and the score of the activity of daily living scale(ADL)was higher than that of the control group,the differences were statistically significant(P<0.05).Three months after surgery,the scores of Montreal cognitive assessment scale(MoCA)and Fugl-Meyer limb motor function rating scale(FMA)in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of postoperative complications in the observation group was 4.88%,which was lower than 19.51%in the control group,and the difference was statistically significant(P<0.05).Conclusion:In patients with cerebral hemorrhage,transfrontal approach neuroendoscopic surgery can shorten the operation time and ICU stay time,reduce the amount of intraoperative blood loss,and better improve their neurologica

关 键 词：脑出血 神经内镜 经额入路 显微镜 开颅血肿清除术 神经功能 并发症 

分 类 号：R651.1[医药卫生—外科学]