摘要
目的探讨神经内镜技术在高血压小脑出血手术中的应用效果。方法选取2017年2月-2020年2月天水市某医院神经外科收治的50例高血压小脑出血患者为研究对象。采用随机数字表法将患者分为对照组与观察组,每组25例。对照组患者采用后颅窝开颅血肿清除术进行治疗,观察组患者采用神经内镜下血肿清除手术进行治疗。比较2组患者血肿清除率、术中出血量、手术时间、住院时间、术后6个月时日常生活能力量表(ADL)评分。结果观察组患者住院时间、手术时间分别为(15.91±2.18)d及(75.66±19.21)min,短于对照组的(18.02±1.89)d及(155.41±24.53)min,差异均有统计学意义(P<0.05)。观察组患者术中出血量为(92.14±15.61)m L,少于对照组的(328.01±15.23)m L,差异有统计学意义(P<0.05)。观察组、对照组患者血肿清除率分别为(87.43±14.35)%及(87.17±12.81)%,差异无统计学意义(P>0.05)。观察组患者中ADL1所占比例为29.14%,高于对照组的8.69%,差异有统计学意义(P<0.05)。观察组患者中ADL3及ADL4所占比例分别为25.00%及12.50%,低于对照组的39.13%及26.09%,差异均有统计学意义(P<0.05)。结论神经内镜下血肿清除术可应用于出血量为10~25m L的高血压小脑出血治疗中,其可缩短手术时间及住院时间,减少术中出血量,改善神经功能障碍,提高患者远期日常生活质量,临床效果显著,值得推广应用。
Objective To explore the effect of applying neuroendo scopic techniques in the surgery of hypertensive cerebellar hemorrhage.Methods Fifty patients with hypertensive cerebellar hemorrhage admitted to the Department of Neurosurgery in a hospital in Tianshui from February 2017 to February 2020 were selected for the study.The random number table method was used to divide the patients into control group and observation group,with25 cases in each group.The patients in the control group were treated with posterior cranial fossa craniotomy and the patients in the observation group were treated with neuroendoscopic hematoma removal surgery.The hematoma clearance rate,intraoperative bleeding,operation time,hospitalization time,and Activities of Daily Living(ADL)score at 6 months after operation were compared between the two groups.Results The length of hospitalization and operation in the observation group were(15.91±2.18)d and(75.66±19.21)min,respectively,which were significantly shorter than those in the control group at(18.02±1.89)d and(155.41±24.53)min(P<0.05).The intraoperative bleeding volume of patients in the observation group was(92.14±15.61)mL,which was less than that of the control group at(328.01±15.23)mL,and the difference was statistically significant(P<0.05).The hematoma clearance rates were(87.43±14.35)%and(87.17±12.81)%in the observation and control groups,respectively,with no statistically significant difference(P>0.05).The percentage of ADLL1 in the observation group was 29.14%,which was higher than that in the control group(8.69%),and the difference was statistically significant(P<0.05).The proportions of ADL3 and ADL4 in the observation group were 25.00%and 12.50%,respectively,which were lower than those of 39.13%and 26.09%in the control group,and the differences were statistically significant(P<0.05).Conclusion Applying neuroendo scopic hematoma removal in the treatment of hypertensive cerebellar hemorrhage with bleeding volume of 10-25 mL can shorten the operation time and hospitalization ti
作者
吴浩
汝觅禄
文斌
胥文德
赵自育
李忠
Wu Hao;Ru Milu;Wen Bin;Xu Wende;Zhao Ziyu;Li Zhong(The First People's Hospital of Tianshui City,Tianshui Gansu 741000,China)
出处
《保健医学研究与实践》
2021年第3期103-105,111,共4页
Health Medicine Research and Practice
关键词
神经内镜下的血肿清除术
高血压小脑出血
生活质量
预后
Neuroendoscopic hematoma removal
Hypertensive cerebellar hemorrhage
Quality of life
Prognosis
