摘要
目的:研究神经内镜微创手术治疗幕上高血压脑出血的临床效果及对神经功能的影响。方法:选取2017年6月-2018年6月笔者所在医院神经内科收治的108例幕上高血压脑出血患者作为研究对象,根据手术方式的不同将其分为观察组和对照组,各54例。对照组采用小骨窗开颅显微手术治疗,观察组采用神经内镜微创手术治疗。比较两组患者手术情况、神经功能恢复情况。结果:观察组手术时间、ICU入住时间均明显短于对照组,术中出血量明显少于对照组,且观察组血肿清除率明显高于对照组。差异均有统计学意义(P<0.05)。治疗后6个月,两组CSS评分均较治疗前降低,且观察组降低程度显著优于对照组,差异有统计学意义(P<0.05)。结论:神经内镜微创手术能够快速、彻底地清除颅内血肿,促进神经功能恢复,具有创伤性小、恢复时间短、预后好等优点,具有临床推广和运用价值。
Objective: To study the clinical effect of minimally invasive neuroendoscopic surgery in the treatment of supratentorial hypertensive intracerebral hemorrhage and its influence on neurological function. Method: A total of 108 patients with supratentorial hypertensive intracerebral hemorrhage admitted in the department of neurology of our hospital from June 2017 to June 2018 were selected as the study subjects. According to the different operation methods, they were divided into the observation group and the control group, 54 cases in each group. The control group was treated with small bone window craniotomy, while the observation group was treated with minimally invasive neuroendoscopic surgery. The operation condition and neurological function recovery of the two groups were compared. Result: The operation time and stay time of ICU in the observation group were significantly shorter than those in the control group, the amount of bleeding during the operation was significantly less than that in control group, and the clearance rate of hematoma in observation group was significantly higher than that in the control group, the differences were statistically significant(P<0.05). Six months after treatment, the GSS scores of the two groups were decreased compared with those before treatment, and the degree of reduction in the observation group was significantly better than that in the control group, the difference was statistically significant (P<0.05). Conclusion: Minimally invasive neuroendoscopic surgery can quickly and thoroughly remove intracranial hematoma and promote the recovery of neurological function, and has the advantages of small trauma, short recovery time and good prognosis. It has the value of clinical popularization and application.
作者
余吉勇
文婷彝
熊国祥
彭清
邹滔滔
YU Jiyong;WEN Tingyi;XIONG Guoxiang;PENG Qing;ZOU Taotao(Yidu First People’s Hospital, Yidu 443300, China)
出处
《中外医学研究》
2019年第28期125-127,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
神经内镜
高血压脑出血
临床疗效
神经功能
Neuroendoscopy
Hypertensive intracerebral hemorrhage
Clinical efficacy
Neurological function
