摘要
目的研究高血压性中等量脑出血采用神经内镜治疗对比小骨窗开颅的效果。方法对照组实施小骨窗开颅手术,观察组实施神经内镜手术。记录两组术中出血量、手术耗时、血肿清除率;对比两组术前和术后3 个月的临床神经功能缺损程度(clinic neurological function deficit scale,NDS)评分及日常生活能力量表(activity of daily living scale,ADL)评分,对比两组术后并发症发生率,引入Hemphill 脑出血预后评分对比两组预后良好率。结果观察组术中出血量(t=47.554,P<0.001)、手术耗时(t=11.497,P<0.001)、血肿清除率(t=8.012,P<0.001)、术后并发症发生率(χ^2 =10.000,P=0.002)、预后良好率(χ^2 =7.235,P=0.007)均显著优于对照组,差异有统计学意义;观察组术后DNS 评分低于对照组(t=15.450,P<0.001),ADL 评分高于对照组(t=25.982,P<0.001)。结论高血压性中等量脑出血患者采用神经内镜治疗的疗效好、创伤小、神经功能恢复更优、更能有效改善患者预后。
Objective The objective of this study was to compare the effect of endoscopic treatment and small bone window craniotomy on hypertensive intracerebral hemorrhage. Methods The small bone window craniotomy was performed in the control group. Endoscopic surgery was performed in the observation group. Intraoperative bleeding volume, operation time and hematoma clearance rate were recorded in both groups. The clinic neurological function deficit scale (NDS) and activity of daily living scale (ADL) scores of the two groups before and 3 months after operation were compared. The incidence of postoperative complications was compared between the two groups. The prognosis of Hemphill cerebral hemorrhage was introduced to compare the good prognosis of the two groups. Results T he bleeding volume (t=47.554, P<0.001), operation time (t=11.497, P<0.001), hematoma clearance rate (t=8.012, P<0.001), incidence of complications (χ^2 =10.000, P=0.002), good prognosis rate (χ^2 =7.235, P=0.007) of the observation group were significantly better than those of the control group;the DNS score of the observation group was lower than that of the control group (t=15.450, P<0.001), and the ADL score was higher than that of the control group (t=25.982, P<0.001). Conclusions Neuroendoscopy therapy can be used in the treatment for patients with hypertensive intracerebral hemorrhage, which has good efficacy, minor trauma, better recovery of nerve function, and can effectively improve the prognosis.
作者
高庆飞
GAO Qingfei(Department of Neurosurgery, Gucheng County People's Hospital, Xiangyang 441700, China)
出处
《中华灾害救援医学》
2019年第6期335-338,共4页
Chinese Journal of Disaster Medicine
关键词
高血压
中等量脑出血
神经内镜
小骨窗
开颅
hypertension
moderate cerebral hemorrhage
neuroendoscope
small bone window
craniotomy
