神经内镜微创手术与开颅血肿清除术治疗高血压脑出血的临床比较

The clinical comparison of neuroendoscopic minimally invasive surgery and craniotomy for treatment of hypertensive cerebral hemorrhage

目的总结探讨神经内镜微创手术与开颅血肿清除术在高血压脑出血治疗中的应用效果。方法选择2014年1月~2015年12月期间在本院接受手术治疗的80例高血压脑出血患者为研究对象,根据手术方式不同分为观察组和对照组各40例,对照组患者接受开颅血肿清除术,观察组患者接受神经内镜微创手术治疗,观察比较两组患者的手术治疗效果。结果观察组手术时间、术中出血量、术后ICU住院时间明显低于对照组,且血肿清除率明显高于对照组,组间差异具有统计学意义(P<0.01);观察组术后并发症发生率明显低于对照组,组间差异具有统计学意义(x^2=2.635,P<0.05)。结论与开颅血肿清除术相比,神经内镜微创手术治疗高血压脑出血的临床效果更佳,值得推广使用。

Objective To explore the application of minimally invasive endoscopic surgery and craniotomy hematoma in the treatment of hypertensive intracerebral hemorrhage. Methods 80 patients with hypertensive intracerebral hemorrhage who underwent surgical treatment from January2014 to December 2015 were enrolled in this study. According to the different surgical methods, 40 cases were divided into observation group and control group. The control group received Craniotomy hematoma evacuation surgery, observation group received neuroendoscopic minimally invasive surgery, observed and compared the two groups of patients with surgical treatment. Results The operation time, intraoperative blood loss and postoperative ICU hospital stay were significantly lower than those of the control group, and the hematoma clearance rate was significantly higher than that of the control group(P < 0.01).The incidence of complications was significantly lower than that of the control group, and the difference was statistically significant(x^2= 2.635, P < 0.05). Conclusion Compared with craniotomy and hematoma evacuation, neuroendoscopic minimally invasive surgery is effective in the treatment of hypertensive intracerebral hemorrhage and is worthy of popularization.