| 邱翔,刘伟,刘冰,等.神经内镜微创与开颅微创血肿清除术治疗高血压脑出血的临床疗效比较[J].安徽医药,2018,22(4):674-677. |
| 神经内镜微创与开颅微创血肿清除术治疗高血压脑出血的临床疗效比较 |
| Clinical efficacy comparison of neuroendoscopy minimally invasive and minimally invasive craniotomy hematoma in the treatment of hypertensive intracerebral hemorrhage |
| 投稿时间：2016-09-29 |
| DOI： |
| 中文关键词: 高血压脑出血 神经内镜 手术 临床疗效 |
| 英文关键词: hypertensive cerebral hemorrhage neuroendoscopy surgery clinical curative effect |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨神经内镜微创与开颅微创血肿清除术治疗高血压脑出血的临床疗效。方法 选择2013年5月—2016年4月在潍坊医学院附属医院神经外科住院行颅内血肿清除术的符合入选标准的脑出血患者86例,按照手术治疗方式的不同,分为神经内镜微创治疗组(内镜组)以及开颅微创血肿清除术组(开颅组),比较两组患者的围手术期情况以及术后半年的格拉斯哥(GOS)预后评分。结果 内镜组的手术时间以及术中出血量显著少于开颅组(P＜0.05)。内镜组的血肿清除率显著高于开颅组(P＜0.05)。两组患者消化道出血、尿路感染以及下肢深静脉血栓形成等术后并发症与术后再出血率差异无统计学意义(P＞0.05),内镜组的术后肺部感染发生例数显著低于开颅组(P＜0.05)。内镜组半年后GOS预后评分显著优于开颅组(P＜0.05)。结论 神经内镜微创治疗能显著减少高血压脑出血患者手术时间、术中出血量以及术后肺部感染,提高血肿清除率,有助于患者的预后。 |
| 英文摘要: |
| Objective To explore the clinical efficacy of neuroendoscopy minimally invasive and minimally invasive craniotomy hematoma in the treatment of hypertensive intracerebral hemorrhage. Methods 86 cases patients of hypertensive intracerebral hemorrhage met the inclusion criteria removed of suffered intracranial hematoma surgery were chose in our hospital from May 2013 to April 2016,according to different surgical treatment,divided into neuroendoscopy treatment group (endoscopic group) as well as minimally invasive craniotomy hematoma group (craniotomy group),compared the case of perioperative and the GOS score six months of postoperative. Results The operative time and blood loss on endoscopic group was significantly less than the craniotomy group (P<0.05).Hematoma clearance rate of Endoscopic group was significantly higher than craniotomy group (P<0.05).Complications of gastrointestinal bleeding,urinary tract infections,deep venous thrombosis and postoperative rebleeding rate had no significant difference on the two groups (P>0.05).However,the cases of pulmonary infection postoperative occurred on endoscopic group were significantly lower than craniotomy group (P<0.05).GOS outcome scores on the endoscopic group were significantly better than craniotomy group after six months (P<0.05). Conclusions Neuroendoscopy minimally invasive treat hypertension cerebral hemorrhage can significantly reduce with operation time,intraoperative blood loss and postoperative pulmonary infection,improve the hematoma clearance rate,contribute to prognosis of patients. |
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