导航辅助神经内镜硬通道技术治疗基底节区高血压脑出血患者的临床疗效

Clinical effect of navigation assisted neuroendoscope hard channel technology with the assistance for treating hypertensive cerebral hemorrhage in basal ganglia region

目的探讨导航辅助神经内镜硬通道技术治疗基底节区高血压脑出血的疗效。方法选取桂林医学院附属医院入住的82例基底节区高血压脑出血患者为研究对象,其中37例采用神经内镜硬通道技术治疗,45例采用小骨窗开颅血肿清除术治疗。比较两组患者手术时间、术中出血量、血肿清除率、并发症发生率,以及生存患者术后3个月美国国立卫生院神经功能缺损评分(NIHSS评分)等方面的差异。结果与骨窗组相比,内镜组的手术时间更长、血肿清除率更高、颅内再出血的发生率更低、短期预后更佳(P<0.05)。在术中出血量和其他术后并发症方面,两组患者差异无统计学意义(P>0.05)。结论导航辅助神经内镜硬通道技术可以提高基底节区高血压脑出血患者的治愈率。

Objective To investigate the effect of navigation assisted neuroendoscope hard channel technology for treating hypertensive cerebral hemorrhage in basal ganglia region. Methods Eighty-two inpatients with hypertensive cerebral hemorrhage in basal ganglia region treated in this hospital were selected as the study subjects,among them 37 cases adopted the neuroendoscope hard channel technology and 45 cases adopted the small bone window craniotomy. The operation time,intraoperative bleeding vol- ume,hematoma clearance rate, postoperative complication occurrence rate and NIHSS score at postoperative 3 months were compared between the two groups. Results Compared with the bone window group, the operative time in the endoscopic group was longer and the hematoma clearance rate was higher,intracranial rebleeding occurrence rate was lower and the short term prognosis was better（P〈0.05）. The aspects of intraoperative bleeding volume and other postoperative complications had no statistically significant difference between the two groups（P〉0.05）. Conclusion The naviga.tion assisted neuroendoscope hard channel technology can improve the cure rate in the patients with hypertensive cerebral hemorrhage in basal ganglia region.