神经内镜手术治疗脑室内出血合并脑积水的方法与技巧

Methods and techniques of endoscopic neurosurgery for intraventricular hemorrhage with hydrocephalus

目的探讨脑室内出血合并脑积水应用神经内镜手术治疗的方法与技巧。方法于2017年1月—2019年1月,选取脑室内出血合并脑积水患者50例,按照随机数字表法随机分为试验组与控制组各25例。采用神经内镜手术治疗作为试验组,采用显微外科手术治疗作为控制组,比较两个组别总有效率、术后并发症率、生活质量及复发率。结果两个组别总有效率对比发现,试验组的有效率高达92.0%,显著高于控制组的有效率68.0%,差异有统计学意义(P<0.05)。试验组的术后并发症率12.0%显著低于控制组的36.0%,差异有统计学意义(P<0.05);两组各项生活质量对比发现,试验组优于控制组,差异有统计学意义(P<0.05);试验组患者的复发率为4.55%,显著低于控制组的29.41%,差异有统计学意义(P<0.05)。结论脑室内出血合并脑积水应用神经内镜手术治疗的效果显著,即可有效改善患者病情,减少术后并发症和复发率,还能改善患者生活质量,值得推广研究。

Objective:To investigate the methods and techniques of endoscopic neurosurgery for intraventricular hemorrhage with hydrocephalus.Methods:From January 2017 to January 2019,50 patients with intraventricular hemorrhage complicated with hydrocephalus were selected and equally divided into the control and experimental groups randomly.Patients in the experimental group were treated with neuroendoscopic surgery,while patients in the control group were treated with microsurgery.The total effective rate,postoperative complication rate,quality of life and recurrence rate of the two groups were compared.Results:The comparison of total efficiency between the two groups showed that,the effective rate of the experimental group was as high as 92.0%,which was significantly higher than that of the control group 68.0%,the difference was statistically significant(P<0.05).The postoperative complication rate of 12.0%in the experimental group was significantly lower than that of 36.0%in the control group,and the difference was statistically significant(P<0.05).The comparison of quality of life between the two groups showed that the experimental group was superior to the control group,and the difference was statistically significant(P<0.05).The recurrence rate in the experimental group was 4.55%,significantly lower than that in the control group 29.41%,and the difference was statistically significant(P<0.05).Conclusion:The treatment of intraventricular hemorrhage with hydrocephalus by neuroendoscopic surgery has a significant effect,which can effectively improve the patient's condition,reduce postoperative complications and recurrence rate,and improve the quality of life of patients.