摘要
目的观察高血压脑出血采用个体化外科手术治疗的临床效果。方法选取我院2011-08—2014-02 62例高血压脑出血患者为研究对象,抽签随机分为内镜微创组与开颅血肿清除组,2组均31例,内镜微创组采取神经内镜微创手术治疗,开颅血肿清除组采取开颅血肿清除术治疗,比较2组患者手术时间、失血量、引流时间、血肿清除率、术后不良反应及日常生活活动能力(ADL)评分。结果内镜微创组手术时间、失血量明显较开颅血肿清除组少(P<0.05),二者引流时间对比差异无统计学意义(P>0.05);内镜微创组肺部感染、消化道出血、颅内感染发生率分别为3.23%、3.23%、0,与开颅血肿清除组6.45%、6.45%、3.23%比较无显著差异(P>0.05);内镜微创组血肿清除率明显较开颅血肿清除组低(P<0.05),内镜微创组Ⅰ级患者占54.84%,较开颅血肿清除组的29.03%高(P<0.05)。结论神经内镜微创手术具有微创、高效等优势,治疗高血压脑出血效果显著,并发症少,血肿清除率高,有较高的临床应用价值。
Objective To study the clinical effect of individual surgery in treatment of hypertensive intracerebral hemor‐rhage. Methods 62 cases of hypertensive cerebral hemorrhage patients in our hospital from August 2011 to February 2014 were randomly divided into observation group and control group ,two groups of 31 cases ,the observation group adopted endo‐scopic minimally invasive surgical treatment ;the control group took the surgical treatment of hematoma removal. The operation time ,blood loss ,drainage time ,hematoma clearance rate ,postoperative adverse reaction and activities of daily living （ADL ） score of patients in two groups were compared.Results The operation time ,blood loss in endoscopic minimally invasive group were significantly higher than craniotomy hematoma removal group （P〈0.05） ,contrast of drainage time in two groups had no statistical significance （P〉0.05）;pulmonary infection ,alimentary tract hemorrhage ,intracranial infection rates in endoscopic minimally invasive were 3.23% ,3.23% and 0 ,and compared to group of craniotomy hematoma removal of 6.45% ,6.45%and 3.23% ,there were no significant differences（P〉0.05）;hematoma clearance rate in endoscopic minimally invasive group was significantly lower than the group of craniotomy hematoma removal （P〈0.05） ,grade Ⅰ patients of endoscopic minimally invasive group was accounted for 54.84% ,compared to craniotomy hematoma removal group 29.03% ,it was significantly higher （P〈0.05）.Conclusion Endoscopic minimally invasive operation is minimally invasive ,with high efficiency and many other advantages ,and has a significant effect in treatment of hypertensive cerebral hemorrhage ,with fewer complications ,he‐matoma clearance rate ,and has a high value in clinical application.
出处
《中国实用神经疾病杂志》
2015年第11期12-14,共3页
Chinese Journal of Practical Nervous Diseases
关键词
高血压脑出血
神经内镜微创手术
预后
Hypertensive cerebral hemorrhage
Endoscopic operation
Prognosis
