摘要
目的:研究神经内镜血肿清除术的优点及其在慢性硬膜下血肿(CSDH)治疗中的应用价值。方法:将某院2019年6月~2020年6月收治的80例CSDH患者随机分为C组和S组各40例,分别实施微创穿刺引流术治疗、神经内镜血肿清除术治疗,比较两组患者的血肿清除率、复发率、神经功能(NIHSS评分)和术后并发症的发生率。结果:S组患者血肿清除率高于C组(P<0.05);术后半年,S组患者血肿复发率为5%,低于C组的20%(P<0.05);术后1个月,S组患者NIHSS评分低于C组(P<0.05);S组术后共7.5%的患者发生并发症,低于C组的20%(P<0.05)。结论:神经内镜血肿清除术对CSDH患者的血肿清除效果、神经功能改善效果均优于微创穿刺引流术,且能有效预防血肿复发,降低术后并发症。
Objective:To study the advantages of neuroendoscopic hematoma removal and its application value in the treatment of chronic subdural hematoma(CSDH).Methods:80 patients with CSDH admitted to a hospital from June 2019 to June 2020 were randomly divided into group C(n=40)and group S(n=40).Minimally invasive puncture and drainage and neuroendoscopic hematoma removal were performed,respectively.The hematoma clearance rate,recurrence rate,neurological function(NIHSS score)and incidence of postoperative complications in the two groups were compared.Results:The hematoma clearance rate in group S was higher than that in group C(P<0.05).Half a year after operation,the recurrence rate of hematoma in group S was 5%,which was lower than 20%in group C(P<0.05).One month after operation,the NIHSS score in group S was lower than that in group C(P<0.05).A total of 7.5%of patients in group S had postoperative complications,which was lower than 20%in group C(P<0.05).Conclusion:Neuroendoscopic hematoma removal is better than minimally invasive puncture and drainage in hematoma removal and neurological function improvement in CSDH patients,and can effectively prevent recurrence of hematoma and reduce postoperative complications.
作者
齐伟
Qi Wei(Department of Neurosurgery,Shangqiu No.1 People's Hospital,Shangqiu 235300)
出处
《数理医药学杂志》
CAS
2021年第10期1468-1470,共3页
Journal of Mathematical Medicine
关键词
慢性硬膜下血肿
神经内镜血肿清除术
神经功能
血肿复发
chronic subdural hematoma
neuroendoscopic hematoma removal
neurological function
recurrence of hematoma
