摘要
目的:探讨神经内镜下脑内血肿清除术的临床应用。方法:本研究抽取2021年5月~2023年5月本院收治的高血压性脑出血患者40例作为研究对象,将其按抽签结果分为观察组、对照组各20例,对照组采用开颅血肿清除术,观察组采用神经内镜下脑内血肿清除术,比较两组临床指征、治疗有效率、血肿清除率、并发症发生率。结果:观察组手术时间、ICU留置时间、住院时间、血肿腔引流管拔出时间比对照组短,且观察组术中出血量比对照组少,差异显著(P<0.05);观察组治疗有效率90.00%,对照组治疗有效率60.00%,观察组比对照组高,差异显著(χ^(2)=4.800,P=0.028);观察组血肿清除率85.00%比对照组的50.00%高,差异显著(χ^(2)=5.584,P=0.018);观察组并发症发生率15.00%比对照组的55.00%低,差异显著(χ^(2)=7.033,P=0.008)。结论:在脑出血患者的手术治疗中,神经内镜下脑内血肿清除术能够有效缩减患者手术、ICU留置、住院以及脑室引流管拔出时间,并且该手术出血量相较于开颅血肿清除术更少,能够有效提高手术治疗效果,并且该手术血肿清除率较高、并发症发生率较低。
Objective:To explore the clinical application of neuroendoscopic brain hematoma removal surgery.Methods:This study selected 40 patients with hypertensive intracerebral hemorrhage admitted to our hospital from May 2021 to May 2023 as the study subjects.They were divided into an observation group and a control group of 20 cases each based on the draw results.The control group underwent craniotomy hematoma removal surgery,while the observation group underwent neuroendoscopic intracerebral hematoma removal surgery.The clinical indications,treatment effectiveness,hematoma removal rate,and incidence of complications were compared between the two groups.Results:The observation group had shorter surgical time,ICU retention time,hospital stay,and hematoma cavity drainage tube extraction time compared to the control group,and the intraoperative blood loss in the observation group was significantly lower than that in the control group(P<0.05);The effective rate of treatment in the observation group is 90.00%,while the effective rate of treatment in the control group is 60.00%.The observation group is higher than the control group,and the difference is significant(χ^(2)=4.800,P=0.028);The hematoma clearance rate in the observation group was 85.00%higher than that in the control group,which was 50.00%,and the difference was significant(χ^(2)=5.584,P=0.018);The incidence of complications in the observation group was 15.00%lower than that in the control group,which was 55.00%,and the difference was significant(χ^(2)=7.033,P=0.008).Conclusion:In the surgical treatment of patients with cerebral hemorrhage,neuroendoscopic intracerebral hematoma removal can effectively reduce the time required for surgery,ICU retention,hospitalization,and ventricular drainage tube removal.Moreover,the amount of bleeding during this surgery is less than that of craniotomy hematoma removal,which can effectively improve the effectiveness of manual treatment.Moreover,the hematoma removal rate of this surgery is higher and the incidence of complicati
作者
谭平
TAN Ping(Neurosurgery Department of Zhongxian People’s Hospital in Chongqing,Chongqing 404300)
出处
《中国医疗器械信息》
2024年第2期73-75,共3页
China Medical Device Information
关键词
神经内镜
脑内血肿清除术
临床效果
neuroendoscopy
surgical removal of intracerebral hematoma
clinical effects
