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比较分析

Comparison of clinical curative effect of neuroendoscopic minimally invasive surgery and craniectomy for hypertensive intracerebral hemorrhage

目的:比较神经内镜微创手术和开颅血肿清除术治疗高血压脑出血患者的临床效果。方法:将在我院接受手术治疗的78例高血压脑出血患者按照选择手术方法的不同分为微创组(神经内镜微创手术)和开颅组(开颅血肿清除术),对比两组患者的手术治疗效果。结果:微创组患者的手术时间与开颅组患者比较差异无统计学意义(P>0.05),术中出血量为(95.9±12.6)mL,较开颅组患者的(172.5±35.1)mL少(P<0.05),血肿清除率为(89.2±3.9)%,较开颅组患者的(78.4±5.1)%高(P<0.05),术后并发症发生率为4.8%,较开颅组患者的21.6%低(P<0.05)。术后对两组患者进行为期2个月的随访,使用GOS评分(格拉斯哥预后评分)评价两组预后状况,结果显示微创组患者的GOS评分较开颅组患者高(P<0.05)。结论:与开颅血肿清除术比较,神经内镜微创手术治疗高血压脑出血的效果更确切,并发症更少。

Objective：To compare the clinical effect of minimally invasive endoscopic surgery and craniectomy in the treatment of hypertensive intracerebral hemorrhage.Methods：78 patients with hypertensive intracerebral hemorrhage underwent surgical treatment in our hospital were divided into minimally invasive group（minimally invasive endoscopic surgery） and craniotomy group（craniotomy hematoma evacuation） according to the different methods of operation.Compared the two groups of patients with surgical treatment.Results：There was no significant difference between the operation time and the craniotomy group（P〈0.05）.The bleeding volume in the minimally invasive group was（95.9±12.6） mL,which was higher than that in the craniotomy group（172.5±35.1）（89.2±3.9） %,which was higher than that in the craniotomy group（78.4±5.1） %,P〈0.05.The complication rate was 4.8% in the minimally invasive group and 21.6% in the craniotomy group.The difference between the two groups was statistically significant（P〈0.05）.The two groups of patients were followed up for 2 months.The prognosis of the two groups was evaluated using the GOS score（Glasgow prognosis score）.The results showed that the GOS score of the patients in the minimally invasive group was higher than that in the craniotomy group（P〈0.05）.Conclusions：Compared with craniotomy and hematoma evacuation,neuroendoscopic minimally invasive surgery is effective in the treatment of hypertensive intracerebral hemorrhage with fewer complications.