观察神经内镜辅助小骨窗开颅治疗高血压脑出血的疗效

To Observe the Efficacy of Neuroendoscopy Assisted Craniotomy in the Treatment of Hypertensive Intracerebral Hemorrhage

目的在神经内镜下实施小骨窗开颅对高血压脑出血患者进行治疗,分析其疗效。方法对我院2017年4月至2018年2月收治的56例高血压脑出血患者进行分组研究,内镜组在神经内镜下行小骨窗开颅术,开颅组单纯实施小骨窗开颅术,对两组手术结果进行分析比较。结果内镜组手术时长、术中出血量、住院时间等手术指标与神经功能缺损评分均优于开颅组(P<0.05)。结论神经内镜下行小骨窗开颅术治疗高血压脑出血患者效果显著,可有效缩短手术时间,恢复患者神经功能缺损,值得应用。

Objective To carry out treatment of patients with hypertensive intracerebral hemorrhage by endoscopic craniotomy under endoscopic sinus surgery and analyze its curative effect. Methods 56 cases of hypertensive intracerebral hemorrhage admitted in our hospital from April 2017 to February 2018 were divided into groups. The endoscopic group underwent endoscopic craniotomy with endoscopic surgery and the craniotomy, The two groups of surgical results were analyzed and compared. Results The operation indexes and neurological deficit score of endoscopic group were better than that of craniotomy group（P0.05）, such as operation duration, intraoperative blood loss and hospitalization time. Conclusion Endoscopic neurosurgical treatment of small craniotomy in hypertensive cerebral hemorrhage patients with significant effect, which can effectively shorten the operation time and recovery of patients with neurological deficits, it is worth applying.