摘要
目的比较分析神经内镜与传统开颅血肿清除术治疗基底节区高血压脑出血(HICH)的近期效果及预后。方法回顾性分析2020-06—2023-03在邳州市人民医院神经外科行血肿清除术治疗的40例基底节区HICH患者的临床资料,其中采用神经内镜手术18例(神经内镜组),行传统开颅术22例(传统开颅组)。分析2组患者手术和预后指标。结果神经内镜组的手术时间短于传统开颅组,血肿清除率高于传统开颅组,差异有统计学意义(P<0.05)。神经内镜组患者术后1周及出院时的格拉斯哥昏迷量表(GCS)评分和术后3个月时的Barthel指数评分均高于传统开颅组患者,差异均有统计学意义(P<0.05)。结论对于基底节区HICH患者,神经内镜下血肿清除术在手术时间、血肿清除率,以及近期效果和患者预后方面均较传统开颅血肿清除术具有显著优势。
Objective To compare and analyze the short-term effect and prognosis of neuroendoscopy and traditional craniotomy in the treatment of hypertensive intracerebral hemorrhage(HICH)in basal ganglia region.Methods The clinical data of 40 patients with basal ganglia hich who underwent hematoma removal in the Department of Neurosurgery of Pizhou people's Hospital from June 2020 to March 2023 were retrospectively analyzed,including 18 cases of neuroendoscopic surgery(neuroendoscopic group)and 22 cases of traditional craniotomy(traditional craniotomy group).The operation and prognosis indexes of the two groups were analyzed.Results The operation time of neuroendoscopy group was shorter than that of traditional craniotomy group,and the hematoma clearance rate was higher than that of traditional craniotomy group,the difference was statistically significant(P<0.05).The Glasgow Coma Scale(GCS)score and Barthel index score at 1 week and 3 months after operation in the neuroendoscopy group were higher than those in the traditional craniotomy group,and the differences were statistically significant(P<0.05).Conclusion For patients with basal ganglia hich,neuroendoscopic hematoma removal has significant advantages over traditional craniotomy hematoma removal in terms of operation time,hematoma removal rate,short-term effect and prognosis.
作者
夏天
吴昊
石荣文
王德勇
石祥飞
Xia Tian;Wu Hao;Shi Rongwen;Wang Deyong;Shi Xiangfei(Neurosurgery Department of Pizhou Hospital Affiliated to Xuzhou Medical University(Neurosurgery Department of Pizhou People's Hospital),Pizhou 221300,China)
出处
《河南外科学杂志》
2024年第2期5-7,共3页
Henan Journal of Surgery
基金
徐州医科大学附属医院发展基金-附属邳州医院专项资助项目(ZX202101)。
关键词
高血压基底节区脑出血
神经内镜
血肿清除术
Hypertensive basal ganglia hemorrhage
Neuroendoscopy
Evacuation of hematoma
