神经内镜下微创术治疗高血压性脑出血患者临床疗效

Clinical effect of minimally invasive surgery under neuroendoscope in patients with hypertensive cerebral hemorrhage

目的探讨神经内镜下微创术对高血压性脑出血患者血肿清除率及预后的影响。方法选取2018年2月至2019年10月于本院接受治疗的91例高血压性脑出血患者作为研究对象,依据盲抽法分为对照组(n=45)与观察组(n=46)。对照组行传统开颅血肿清除术治疗,观察组行神经内镜微创术治疗,比较两组围术期指标、血肿清除率及预后情况。结果观察组手术时间、住院时间均短于对照组,术中出血量少于对照组,血肿清除率高于对照组,差异有统计学意义(P<0.05);观察组预后情况优于对照组,差异有统计学意义(P<0.05)。结论高血压性脑出血患者采用神经内镜下微创术治疗效果显著,可有效改善手术效果,提升患者血肿清除率,有利于改善患者预后。

Objective To investigate the effect of minimally invasive neuroendoscopic surgery on hematoma clearance and prognosis in patients with hypertensive cerebral hemorrhage.Methods 91 patients with hypertensive intracerebral hemorrhage who were treated in our hospital from February 2018 to October 2019 were selected as reseach subjects and they were divided into control group(n=45)and observation group(n=46)according to the blind drawing method.The control group was treated with traditional craniotomy for hematoma removal,and the observation group was treated with neuroendoscopic minimally invasive surgery.The perioperative indexes,hematoma removal rate and prognosis of the two groups were compared.Results The operation time and hospital stay of the observation group were shorter than those of the control group;the blood loss during operation was less than that of the control group;the clearance rate of hematoma was higher than that of the control group;the difference was statistically significant(P<0.05).The prognosis of the observation group was better than that of the control group,the difference was statistically significant(P<0.05).Conclusion The treatment effect of minimally invasive neuroendoscopy in patients with hypertensive intracerebral hemorrhage is significant,which can effectively improve the surgical effect,increase the hematoma clearance rate,and improve the prognosis of the patient.