摘要
目的探讨小骨窗脑室镜下血肿清除术治疗高血压性脑出血的临床效果。方法选取2018年7月至2018年12月在我院接受治疗的20例高血压性脑出血患者,行传统骨瓣血肿清除术治疗,作为对照组,选取2018年12月至2019年5月在我院接受治疗的相同例数患者,行小骨窗脑室镜下血肿清除术治疗,作为观察组,比较两组治疗效果。结果观察组治疗有效率为95.00%,显著高于对照组的70.00%(P<0.05);观察组相关治疗指标均显著优于对照组(P<0.05);术前,两组患者格拉斯哥预后(GOS)评分、日常生活能力量表(ADL)评分无显著差异(P>0.05),术后,观察组GOS评分、ADL评分显著高于对照组(P<0.05);观察组并发症发生率为10.00%,显著低于对照组的40.00%(P<0.05)。结论采用小骨窗脑室镜下血肿清除术治疗高血压性脑出血,可提高手术治疗效率,明显改善患者病情,减少并发症的发生,预后良好。
Objective To explore the clinical effects of keyhole approach under ventriculoscope in the treatment of hypertensive cerebral hemorrhage.Methods 20 patients with hypertensive cerebral hemorrhage who were treated with conventional craniotomy approach in Zitong County Hospital of Traditional Chinese Medicine (also referred to as the Hospital) from July 2018 to December 2018 were selected to constituted a control group.Another 20 patients who were treated with keyhole approach under ventriculoscope in the Hospital from December 2018 to May 2019 were selected to comprise an observation group.The treatment effects of the patients were compared between the two groups.Results Firstly,the effective rate of treatment in the observation group was 95.00%,significantly higher than 70.00% in the control group (P<0.05).Secondly,relevant treatment indicators of the patients in the observation group were significantly better than those in the control group (P<0.05).Thirdly,there was no significant difference in Glasgow Outcome Scale (GOS) score and Activity of Daily Living (ADL) scale score before treatment between the two groups (P>0.05).However,the GOS score and ADL score of the patients in the observation group after treatment were significantly higher than those in the control group (P<0.05).Fourthly,the incidence of complications of the patients in the observation group was 10.00%,significantly lower than 40.00% of the control group (P<0.05).Conclusion The application of keyhole approach under ventriculoscope in the treatment of hypertensive cerebral hemorrhage can improve the efficiency of surgery,significantly alleviate illness of the patients,reduce the occurrence of complications, and enjoys a good prognosis.
作者
高功刚
GAO Gong-gang(Zitong County Hospital of Traditional Chinese Medicine,Mianyang,Sichuan 622150)
出处
《智慧健康》
2019年第18期59-60,共2页
Smart Healthcare
关键词
高血压性脑出血
小骨窗脑室镜下血肿清除术
治疗指标
并发症
Hypertensive cerebral hemorrhage
Keyhole approach under ventriculoscope
Treatment indicators
Complications
