透明导管鞘辅助神经内镜颅内血肿清除术疗效分析

Efficacy analysis of endoscopic surgery in intracranial hematoma with transparent sheaths

目的探讨采用透明导管鞘辅助神经内镜治疗高血压脑出血的临床疗效和安全性。方法收治94例幕上脑出血患者,分别行透明导管鞘辅助神经内镜下颅内血肿清除与开颅血肿清除术,比较2组切口长度、骨窗大小、手术时间、术中出血量、术后血肿清除率、术后6个月GOS等临床资料,根据其治疗第6个月GOS评分作为预后指标。采用SPSS 13.0软件进行分析。结果神经内镜组在手术时间、出血量、切口长度、骨窗大小等方面均有明显优势,差异具有统计学意义(P<0.05);血肿清除率、预后无明显统计学差异,但在预后方面内镜组有明显优势。结论采用透明导管鞘辅助神经内镜治疗高血压脑出血,临床疗效满意,创伤小,恢复好,能显著提高患者术后神经功能恢复。

Objective To explore the clinical efficacy and safety of endoscopic surgery in intracranial hematoma with transparent sheaths. Methods 92 cases of hypertensive cerebral hemorrhage were randomly divided into 2 groups,endoscopic surgery in intracranial hematoma with transparent sheaths and craniotomy group;the incision length, bone window size, operative time, blood loss,rates of hematoma evacuation, GOS after 6 months and other clinical data were compared. SPSS13.0 analysis was used to make a comparison. Results There were significant advantages in operative time,blood loss,the incision length and hone window size between the two groups, the differences were statistically significant （P〈0.05） ;There were no significant advantages in rates of hematoma evacuation and prognosis,but endoscopic surgery group had better prognosis. Conclusion Endoscopic surgery in in- tracranial hematoma with transparent sheaths causes less trauma, has good clinical efficacy and better prognosis, and can significantly improve the recovery of neurological function.