内镜辅助下颅内血肿清除术在高血压脑出血患者治疗中的应用研究

Study on application of endoscope-assisted intracranial hematoma evacuation in treatment of patients with hypertensive cerebral hemorrhage

目的探讨内镜辅助下颅内血肿清除术在高血压脑出血患者治疗中的临床效果。方法选取我院2016年1月～2018年1月治疗的80例高血压脑出血患者,随机分为试验组和对照组,每组均为40例患者,对照组患者行去骨瓣开颅颅内血肿清除术,试验组患者进行神经内镜辅助下微创颅内血肿清除术,比较两组患者手术时间、术中出血量、血肿消除情况以及临床治疗有效率情况。结果试验组患者的手术时间平均为(1.0±0.2)h,对照组患者的手术时间为(3.2±0.4)h,试验组患者的手术时间明显较对照组缩短;试验组患者的出血量为(302.1±13.4)mL,对照组患者的出血量为(1077.3±32.1)mL,试验组患者的的出血量明显较对照组缩短,两组患者之间的指标差异均有统计学意义(P <0.05);试验组患者的治疗有效率为90.00%,对照组患者的治疗有效率为70.00%,试验组患者的治疗有效率明显高于对照组患者,两组患者之间的差异有统计学意义(P <0.05);试验组患者在血肿清除率上试验组与对照组患者的血肿消除情况比较,两者之间的差异无统计学意义(P> 0.05)。结论在高血压脑出血患者中采用内镜辅助下颅内血肿清除术有助于缩短患者的手术时间,减少患者手术过程中的出血量,有效改善患者的预后情况,可有效提高患者的生活质量,可在临床中广泛应用。

Objective To explore the clinical effects of endoscope-assisted intracranial hematoma evacuation in treatment of patients with hypertensive cerebral hemorrhage.Methods Eighty patients with hypertensive cerebral hemorrhage who were admitted to our hospital from January 2016 to January 2018 were selected and they were randomly divided into the experimental group and the control group,with 40 cases in each group.Patients in the control group were given routine craniotomy intracranial hematoma evacuation while patients in the experimental group were given endoscope-assisted minimally-invasive intracranial hematoma evacuation.Operation time,intraoperative blood loss,removal of hematoma and effective rate of clinical treatment of patients in two groups were compared.Results Operation time of patients in the experimental group and the control group were respectively(1.0±0.2)h and(3.2±0.4)h.Operation time of patients in the experimental group was significantly shorter than that of control group.Intraoperative blood loss of patients in the experimental group and the control group were respectively(302.1±13.4)mL and(1077.3±32.1)mL.Intraoperative blood loss of patients in the experimental group was significantly less than that of control group.Differences in indexes between two groups had statistical significance(P<0.05).Effective rate of treatment of patients in the experimental group and the control group were respectively 90.00%and 70.00%.Effective rate of treatment of patients in the experimental group was significantly higher than that of control group.Differences between two groups had statistical significance(P<0.05).Difference in hematoma clearance rate in two groups had no statistical significance(P>0.05).Conclusion Endoscope-assisted intracranial hematoma evacuation in treatment of patients with hypertensive cerebral hemorrhage can shorten operation time,reduce intraoperative blood loss and effectively improve prognosis and patients’quality of life,which can be wide applied in clinical practice.