神经内镜辅助下小骨瓣微创治疗高血压脑出血

Endoscopic-assisted small skull flap minimally invasive surgery on hypertensive intracerebral hemorrhage

目的探讨神经内镜辅助下小骨瓣开颅微创治疗高血压脑出血的临床疗效。方法比较神经内镜辅助组与常规大骨瓣开颅组的平均手术时间、血肿清除率、住院医疗费及其预后ADL评分的差别,分析手术疗效。结果手术时间方面,神经内镜辅助组明显短于常规开颅组;血肿清除率方面,神经内镜辅助组明显高于常规开颅组;住院医疗费方面,神经内镜辅助组明显低于常规开颅组;在预后ADL方面,神经内镜辅助组优于常规开颅组,神经内镜辅助组患者死亡率明显低于常规开颅组。结论神经内镜辅助手术具有较短的手术时间、较高清除率、较低住院医疗费及较好的ADL预后评分等优点,比常规开颅手术更具有优势。

Objective To investigate the clinical efficacy of minimally invasive treatment of hypertensive intracerebral hemorrhage by neuroendoscopic assisted small craniotomy. Methods Hypertensive intracerebral hemorrhage were randomly divided into neuroendoscopy group and craniotomy group, to compare The average surgical time, hematoma evacuation rate, the difference of the inpatient medical expenses and prognosis of ADL scores of two groups were compared for analysis of surgical treatment. Results The mean operative time of neuroendoscopy group was significantly shorter than that of craniotomy group. The average hematoma clearance rate of neuroendoscopy group was significantly higher than that of craniotomy group. The average cost of hospitalization of neuroendoscopy group was significantly lower than that of craniotomy group. The prognosis of neuroendoscopy group was better than that of craniotomy group, the mortality rate of neuroendoscopy group was significantly lower than that of craniotomy group. Conclusions Neuroendoscopy assisted craniectomy has a shorter operative time, a higher clearance rate, a lower of hospital medical expenses and the advantages of ADL outcome score than conventional large trauma craniotomy decompression surgery.