摘要
目的:探讨CT引导下冠状缝前入路神经内镜血肿清除术的临床效果。方法:选取2015年6月至2017年3月高血压脑出血(hypertensive intracerebral hemorrhage,HICH)患者86例,根据随机数表法将所有患者分为两组,各43例。对照组采用常规立体定向血肿清除术,观察组予以CT引导下冠状缝前入路神经内镜血肿清除术。对比两组手术指标、手术疗效、再次出血率、病死率及并发症发生率。结果:观察组手术指标明显优于对照组,手术总有效率明显高于对照组,再出出血率、病死率及并发症发生率均明显低于对照组,差异有统计学意义(P<0.05)。结论:CT引导下冠状缝前入路神经内镜血肿清除术可有效缩短手术时间与偏瘫恢复时间,有助于保护患者正常脑组织,降低手术风险,减少并发症及病死的发生。
Objective： To investigate the clinical effects of neuroendoscopic evacuation of hematoma via CT-guided coronal suture anterior approach. Methods： 86 patients with hypertensive intracerebral hemorrhage（ HICH） in our hospital from June 2015 to March 2017 were selected,and they were divided into two groups by random number table,43 cases in each. Control group was given routine stereotactic vacuation of hematoma,observation group was given neuroendoscopic evacuation of hematoma via CT-guided coronal suture anterior approach. The surgical indexes,surgical effects,rebleeding rate,fatality rate and the incidence of complications of two groups were compared. Results： The surgical indexes of observation group were significantly better than those of control group,and the total surgical effective rate was significantly higher than control group,the rebleeding rate,fatality rate and the incidence of complications were significantly lower than control group（ P〈0.05）. Conclusion： Neuroendoscopic evacuation of hematoma via CT-guided coronal suture anterior approach can effectively shorten surgery time and recovery time of hemiplegia,protect normal brain tissues,decrease surgical risks,reduce complications and death.
作者
屈浙
王东
张金峰
田军
宋春旺
檀浩鹏
李建华
QU Zhe;WANG Dong;ZHANG Jinfeng(Shijiazhuang First Hospital,Hebei Shijiazhuang 050000,Chin)
出处
《河北医学》
CAS
2018年第5期805-808,共4页
Hebei Medicine
基金
2017年石家庄市科学技术研究与发展指导计划
(编号:171461563)
关键词
高血压性脑出血
冠状缝前入路
神经内镜
血肿清除术
Hypertensive intraeerebral hemorrhage
Coronal suture anterior approach
Neuroendoseopie
Evacuation of hematoma
