摘要
目的比较神经内镜与小骨窗开颅手术治疗高血压脑出血(HICH)治疗效果和并发症发生率。方法选取2016年7月至2017年12月期间HICH患者82例,随机分为神经内镜及小骨窗两组,每组41例,分别应用神经内镜与小骨窗开颅清除颅内血肿,然后对两组的手术时间、术中出血量、血肿清除率、GOS评分进行比较。结果神经内镜组手术切口长度、手术时间、术中出血量及手术并发症低于小骨窗开颅组,而血肿清除率高于小骨窗开颅组(P<0.05)。结论神经内镜治疗HICH较小骨窗开颅手术用时更短,血肿清除率及GOS评分更高,为颅内出血微创治疗提供新的方法。
Objective To compare the therapeutic effect and complication rate of hypertensive intracerebral hemorrhage(HICH)treated by neuroendoscopy and small bone window craniotomy.Methods Eighty-two patients with HICH from July 2016 to December 2017 were randomly divided into neuroendoscopy group(n=41)and small bone window group(n=41).The intracranial hematomas were cleared by neuroendoscopy and small bone window craniotomy,respectively,and then the operation time,intraoperative blood loss,hematoma clearance rate,and GOS score were compared between the two groups.Results The length of incision,operation time,intraoperative blood loss and operative complications in the neuroendoscopy group were lower than those in the small bone window craniotomy group,but the clearance rate of hematomas was higher than that in the small bone window craniotomy group(P<0.05).Conclusion Neuroendoscopic treatment of HICH has shorter operation time,higher hematomas clearance rate and GOS score than small bone window craniotomy,which provides a new method for minimally invasive treatment of intracranial hemorrhage.
作者
崔冬强
孟祥杰
杨明
乔阳
霍贵通
孙国柱
Cui Dongqiang;Meng Xiangjie;Yang Ming;Qiao Yang;Huo Guitong;Sun Guozhu(Department of Neurosurgery,Xingtai City Ninth Hospital,Hebei 055250,China)
出处
《脑与神经疾病杂志》
2019年第12期758-764,共7页
Journal of Brain and Nervous Diseases
基金
河北省政府资助临床医学优秀人才培养和基础课题研究项目(15277723D)
河北省引进留学人员资助项目(CY201710)
河北省卫生厅重点科技研究计划(20181630)
河北医科大学第二医院科学研究基金项目(2h1201605)
关键词
高血压脑出血
神经内镜
小骨窗
Hypertensive cerebral hemorrhage
Neuroendoscopic
Small bone window