神经内镜下血肿清除术在高血压脑出血患者治疗中的应用

Application of Neuroendoscopic Hematoma Removal in the Treatment of Hypertensive Intracerebral Hemorrhage

目的探讨高血压脑出血患者行神经内镜下血肿清除术的临床效果。方法选取2017年7月至2020年7月辽宁省沈阳市沈北新区中心医院收治的62例高血压脑出血患者作为研究对象,随机分为试验组和对照组,各31例。试验组行神经内镜下血肿清除术,对照组行常规血肿清除术,比较两组的治疗效果、并发症发生情况、手术时间、住院时间以及术中出血量。结果试验组治疗总有效率优于对照组,并发症发生率低于对照组,手术时间、住院时间短于对照组,术中出血量少于对照组,差异均有统计学意义(P<0.05)。结论高血压脑出血患者采用神经内镜下血肿清除术治疗的临床效果显著,手术时间短,术中出血量少,住院时间短,手术后并发症少,安全性高,预后效果好。

Objective To investigate the clinical effect of neuroendoscopic hematoma removal in patients with hypertensive intracerebral hemorrhage.Methods A total of 62 patients with hypertensive cerebral hemorrhage admitted to Shenbei New District Central Hospital of Shenyang City,Liaoning Province from July 2017 to July 2020 were selected as the research subjects,and randomly divided into experimental group and control group,with 31 cases in each group.The experimental group received neuroendoscopic hematoma removal,and the control group received routine hematoma removal,The therapeutic effect,complications,operative time,length of hospital stay and intraoperative blood loss were compared between the two groups.Results The total effective rate of the experimental group was better than that of the control group,the incidence of complications was lower than that of the control group,the operation time and hospital stay were shorter than those of the control group,and the intraoperative blood loss was less than that of the control group,the differences were statistically significant(P<0.05).Conclusion The clinical effect of neuroendoscopic hematoma removal in the treatment of hypertensive cerebral hemorrhage is significant,with short operation time,less intraoperative blood loss,short hospital stay,less postoperative complications,high safety and good prognosis.