摘要
目的观察神经内镜联合术中B超精准治疗高血压脑出血的临床疗效。方法回顾性分析2019年7月至2020年8月在揭阳市人民医院接受治疗的40例高血压脑出血患者的临床资料,按照手术方法不同分为研究组和对照组各20例。对照组采用脑内血肿钻孔引流术治疗,研究组采用神经内镜联合术中B超精准治疗。比较两组患者的手术情况,术前、术后1 d、3 d及7 d时的格拉斯哥昏迷指数(GCS)评分及术后3个月时的日常生活能力(ADL)分级情况,并比较术后并发症发生率。结果研究组患者的引流管留置时间为(2.14±0.21)d,明显短于对照组的(5.09±0.63)d,术后24 h血肿清除率为(95.53±2.50)%,明显高于对照组的(67.17±6.42)%,差异均有统计学意义(P<0.05);研究组患者在术后1 d、3 d及7 d的GCS评分分别为(11.06±1.47)分、(13.03±1.02)分、(13.83±0.86)分,明显高于对照组的(9.84±1.05)分、(11.84±1.21)分、(13.15±1.01)分,差异均有统计学意义(P<0.05);研究组患者的ADL分级预后良好率为80.0%,明显高于对照组的50.0%,差异有统计学意义(P<0.05);研究组患者术后并发症总发生率为5.0%,明显低于对照组的30.0%,差异有统计学意义(P<0.05)。结论神经内镜联合术中B超精准治疗高血压脑出血的临床疗效显著,值得临床推广应用。
Objective To observe the clinical efficacy of neuroendoscopy combined with intraoperativeβ-ultrasound for precise treatment of hypertensive intracerebral hemorrhage.Methods The clinical data of 40 patients with hypertensive intracerebral hemorrhage treated in Jieyang People’s Hospital from July 2019 to August 2020 were retrospectively analyzed.The patients were divided into an experimental group and a control group according to different operation methods,with 20 patients in each group.The control group was treated with intracerebral hematoma drilling and drainage,and the experimental group was treated with neuroendoscopy combined with intraoperativeβ-ultrasound for precise treatment.The operation conditions,the Glasgow Coma Scale(GCS)before operation and at 1 day,3 days,7 days after operation were compared between the two groups,as well as the activity of daily living(ADL)grade at 3 months after operation and the incidence of postoperative complications.Results The indwelling time of the drainage tube in the experimental group was(2.14±0.21)days,which was significantly shorter than(5.09±0.63)days in the control group;and the 24 hours postoperative hematoma clearance rate in the experimental group was(95.53±2.50)%,which was significantly higher than(67.17±6.42)%in the control group;both differences were statistically significant(P<0.05).The GCS scores of the experimental group were significantly higher than those of the control group at 1 day after operation with(11.06±1.47)vs(9.84±1.05),3 days after operation with(13.03±1.02)vs(11.84±1.21)and 7 days after operation with(13.83±0.86)vs(13.15±1.01),and all differences were statistically significant(P<0.05).According to the ADL grade,the good prognosis rate was 80.0%in the experimental group,which was significantly higher than 50.0%in the control group(P<0.05).The total incidence of postoperative complications was 5.0%in the experimental group,which was significantly lower than 30.0%in the control group(P<0.05).Conclusion Neuroendoscopy combined with i
作者
蔡丹辉
江楠
黄敏东
黄嘉斌
林㛇
CAI Dan-hui;JIANG Nan;HUANG Min-dong;HUANG Jia-bin;LIN Ga(Department of Neurosurgery,Jieyang People's Hospital,Jieyang 522000,Guangdong,CHINA;Operating Room,Jieyang People's Hospital,Jieyang 522000,Guangdong,CHINA)
出处
《海南医学》
CAS
2021年第12期1534-1537,共4页
Hainan Medical Journal
基金
广东省揭阳市科技计划项目(编号:2019ws048)。
关键词
高血压脑出血
神经内镜
B超
血肿清除率
预后
并发症
Blood pressure cerebral hemorrhage
Neuroendoscopy
β-ultrasound
Hematoma clearance rate
Prognosis
Complications
