软通道微创术与开颅术治疗高血压病脑出血的临床观察

Clinical observation of microinvasive surgery with soft tube and craniotomy for hypertensive intracerebral hemorrhage

目的观察软通道微创术与开颅术治疗高血压病脑出血的临床效果。方法 80例高血压病脑出血患者,根据手术治疗方法不同分为软通道微创组与开颅组,各40例。软通道微创组采用软通道微创术治疗,开颅组采用开颅术治疗。比较两组患者治疗前后的美国国立卫生院神经功能缺损评分(NIHSS)、临床疗效以及并发症发生情况。结果治疗前,两组NIHSS评分比较差异无统计学意义(P>0.05)。治疗3个月,两组NIHSS评分明显低于治疗前,软管道微创组NIHSS评分显著低于开颅组,差异具有统计学意义(P<0.05)。软管道微创组治疗总有效率为90.00%,开颅组为70.00%,软管道微创组治疗总有效率明显高于开颅组,差异具有统计学意义(P<0.05)。软管道微创组并发症发生率7.50%显著低于开颅组的25.00%,差异具有统计学意义(P<0.05)。结论与开颅术相比较,软通道微创术应用于高血压病脑出血的治疗中,有利于改善患者神经功能缺损症状,提高治疗效果,降低并发症发生风险,改善患者的生存质量,值得临床借鉴和进一步推广应用。

Objective To observe the clinical effect of microinvasive surgery with soft tube and craniotomy for hypertensive intracerebral hemorrhage. Methods A total of 80 patients with hypertensive intracerebral hemorrhage were divided into soft tube microinvasive group and craniotomy group according to different surgical treatments, 40 cases in each group. The soft tube microinvasive group was given microinvasive surgery with soft tube, the craniotomy group was given craniotomy for treatment. The national institutes of health stroke scale NIHSS before and after treatment, clincial effect and complications between the two groups were compared. Results Before treatment, there was no significant difference in the NIHSS between the two groups P 0.05 . After 3 months of treatment, the NIHSS of the two groups were significantly lower than those before treatment, and the NIHSS of the soft tube microinvasive group was significantly lower than that of the craniotomy group, the differences were statistically significant P 0.05 . The total effective rate of the soft tube microinvasive group was 90.00%, and that of the craniotomy group was 70.00%. The total effective rate of the soft tube microinvasive group was significantly higher than that of the craniotomy group, the difference was statistically significant P 0.05 . The incidence of complications in the soft tube microinvasive group was 7.50%, which was significantly lower than 25.00% in the craniotomy group, the difference was statistically significant P 0.05 . Conclusion Compared with craniotomy, microinvasive surgery with soft tube in the treatment of hypertensive intracerebral hemorrhage is conducive to improve the symptoms of neurological deficits, improve the treatment effect, reduce the risk of complications, improve the quality of life of patients, is worthy of clinical reference and further promotion and application.Key words