高血压脑出血神经内镜微创手术与开颅血肿清除术的临床特点与疗效

Clinical characteristics and efficacy of minimally invasive endoscopic surgery and craniotomy hematoma removal for hypertensive intracerebral hemorrhage

目的探讨高血压脑出血神经内镜微创手术与开颅血肿清除术的临床特点与疗效。方法将我院收治的150例高血压脑出血患者分为对照组(75例,采用开颅血肿清除术治疗)和观察组(75例,采用神经内镜微创手术治疗)。比较两组患者的手术指标与临床效果。结果观察组手术时间短于对照组、术中出血量少于对照组、血肿清除率高于对照组(P<0.05)。观察组中,未出现术后死亡患者,Glasgow评分Ⅴ级的患者有35例;对照组中,术后死亡2例,Glasgow评分Ⅴ级的患者有6例;观察组Glasgow评分Ⅴ级患者占比明显高于对照组(P<0.05)。结论在高血压脑出血的临床治疗中,应用神经内镜微创手术的治疗效果要优于传统开颅血肿清除术,可将其作为首选手术方案予以推广。

Objective To explore the clinical characteristics and curative effects of minimally invasive endoscopic surgery and craniotomy hematoma removal for hypertensive intracerebral hemorrhage. Methods A total of 150 cases of hypertensive cerebral hemorrhage patients treated in our hospital were divided into control group（n=75, treated with craniotomy hematoma removal） and observation group（n =75, treated with minimally invasive endoscopic surgery）. The operation indexes and clinical effects of two groups were compared. Results Compared with the control group, the observation group had shorter operation time, less intraoperative blood loss and higher hematoma clearance rate（P〈0.05）. In the observation group, there were no postoperative death, and there were 35 patients with Glasgow score V; in the control group, 2 patients died after surgery, and there were 6 patients with Glasgow score V; the proportion of patients with Glasgow score V in the observation group was significantly higher than that in the control group（P〈0.05）. Conclusion In the clinical treatment of hypertensive intracerebral hemorrhage, the application of minimally invasive endoscopic surgery is superior to traditional craniotomy hematoma removal, and it can be promoted as a preferred surgical procedure.