透明硬通道辅助下神经内镜手术在脑室出血中的疗效分析  

Analysis of the Efficacy of Transparent Hard Channel-Assisted Neuroendoscopic Surgery in the Treatment of Ventricular Hemorrhage

作　　者：候国涛 HOU Guotao(Department of Neurosurgery,Gushi County People's Hospital,Xinyang Henan 465200,China)

机构地区：[1]固始县人民医院神经外科,河南信阳465200

出　　处：《临床研究》2025年第3期43-46,共4页Clinical Research

摘　　要：目的探讨透明硬通道辅助下神经内镜手术联合颅内压监测引流系统在脑室出血治疗中的作用及对预后的影响。方法回顾性分析固始县人民医院神经外科2019年6月至2021年12月收治的56例脑室出血行手术治疗患者的临床资料,其中行透明硬通道辅助神经内镜手术下脑室血肿清除+颅内压监测引流术为内镜组(n=31例),单纯行脑室钻孔颅内压监测引流术为引流组(n=25例)。分析两组患者术后48 h血肿清除率、脑室引流管置管时间、住院天数、并发症(复发性颅内出血、颅内感染、肺部感染)发生率、格拉斯哥预后评分(GOS)。结果内镜组患者术后48 h血肿清除率、脑室引流管置管时间、颅内感染的发生率及住院天数均优于引流组,差异有统计学意义(P<0.05);两组患者术后复发性颅内出血及肺部感染的发生率比较差异均无统计学意义(P>0.05);内镜组患者GOS评分优于引流组,差异有统计学意义(P<0.05)。结论透明硬通道辅助下神经内镜手术能够及时清除脑室内血肿,减轻继发性脑损伤,缩短脑室引流管置管时间、减少术后颅内感染的发生率,进而能够缩短患者住院时间,改善患者的预后。Objective To explore the role and impact on prognosis of transparent hard channel-assisted neuroendoscopic surgery combined with intracranial pressure monitoring drainage system in the treatment of ventricular hemorrhage.Methods A retrospective analysis was conducted on the clinical data of 56 patients who underwent surgical treatment for ventricular hemorrhage at the Department of Neurosurgery of Gushi County People's Hospital from June 2019 to December 2021.Among them,31 patients underwent transparent hard channel-assisted neuroendoscopic surgery with hematoma removal and intracranial pressure monitoring drainage,assigned to the endoscopic group(n=31),while 25 patients underwent simple ventricular puncture for intracranial pressure monitoring drainage,assigned to the drainage group(n=25).The two groups were compared in terms of hematoma clearance rate 48 hours post-surgery,duration of ventricular drainage catheter placement,length of hospital stay,incidence of complications(recurrent intracranial hemorrhage,intracranial infection,pulmonary infection),and Glasgow Outcome Scale(GOS)scores.Results The endoscopic group demonstrated a significantly better hematoma clearance rate,shorter duration of ventricular drainage catheter placement,lower incidence of intracranial infection,and reduced length of hospital stay as compared to the drainage group,with statistical significance(P<0.05).There was no statistically significant difference in the incidence of recurrent intracranial hemorrhage and pulmonary infection between the two groups(P>0.05).Additionally,the GOS scores for the endoscopic group were superior to those of the drainage group,showing statistical significance(P<0.05).Conclusion Transparent hard channel-assisted neuroendoscopic surgery can effectively remove ventricular hematomas in a timely manner,mitigate secondary brain injury,shorten the duration of ventricular drainage catheter placement,and reduce the incidence of postoperative intracranial infections,ultimately leading to a shorter hospital stay and

关 键 词：神经内镜手术 颅内压监测引流 脑室出血 治疗疗效 

分 类 号：R743.3[医药卫生—神经病学与精神病学]