摘要
目的:探讨显微与神经内镜手术治疗基底节区高血压脑出血(HBGH)效果。方法:选取80例2019年1月至2020年12月收治的HBGH患者为研究对象,随机分为显微组和神经内镜组;显微组进行显微手术治疗,神经内镜组进行神经内镜手术治疗,对比疗效。结果:神经内镜组血肿清除率(94.45±2.79)%高于显微组的(88.87±2.54)%;神经内镜组手术时长、术中止血及住院时间分别为(123.91±19.57)min、(20.71±1.48)min、(17.45±2.79)d,均少于显微组的(162.62±31.04)min、(24.84±2.59)min、(24.87±3.54)d;神经内镜组NIHSS评分(7.38±0.61)分低于显微组的(10.84±0.97)分;神经内镜组术后并发症发生率2.50%,低于显微组的15.00%(P<0.05)。结论:神经内镜手术治疗HBGH更具安全性及有效性,有利于患者术后神经功能快速恢复,缩短住院时间,对提升预后质量有积极意义,值得应用。
Objective:To investigate the effect of microendoscopic and neuroendoscopic surgery on hypertensive basal ganglia cerebral hemorrhage(HBGH).Methods:A total of 80 HBGH patients admitted from January 2019 to December 2020 were selected as the study subjects,and randomly divided into microscopical group and neuroendoscopic group.Microsurgery was performed in the microgroup and neuroendoscopic surgery was performed in the neuroendoscopic group.Results:The hematoma clearance rate of the neuroendoscopic group was(94.45±2.79)%higher than that of the microscopic group(88.87±2.54)%.The duration of operation,intraoperative hemostasis and hospital stay in the neuroendoscopic group were(123.91±19.57)min,(20.71±1.48)min and(17.45±2.79)d,respectively,lower than those in the microendoscopic group(162.62±31.04)min,(24.84±2.59)min and(24.87±3.54)d.The NIHSS score of the neuroendoscopic group(7.38±0.61)was lower than that of the microscopic group(10.84±0.97).The incidence of postoperative complications in neuroendoscope group was 2.50%lower than that in microscope group(15.00%)(P<0.05).Conclusion:Neuroendoscopic surgery is more safe and effective in the treatment of HBGH,which is conducive to the rapid recovery of postoperative neurological function,shorten the length of hospital stay,and has positive significance for improving the quality of prognosis,so it is worthy of application.
作者
兰伟途
赵舰
张良龙
LAN Weitu;ZHAO Jian;ZHANG Lianglong(Cangzhou People's Hospital,Cangzhou 061000,China)
出处
《包头医学院学报》
CAS
2021年第8期48-51,共4页
Journal of Baotou Medical College
关键词
显微手术
神经内镜手术
基底节区
高血压脑出血
血肿清除率
神经功能
安全性
Microsurgery
Neuroendoscopic surgery
Basal ganglia region
Hypertensive cerebral hemorrhage
Hematoma clearance
Nerve function
Security