13例神经内镜下高血压脑出血手术预后相关因素分析

Analysis of factors related to surgical prognosis of 13 patients with hypertensive cerebral hemorrhage under neuroendoscopy

[背景]分析神经内镜下高血压脑出血手术预后的相关因素.[病例报告]回顾性分析2018年1月至2019年12月间行神经内镜下脑血肿清除术的高血压脑出血患者13例的临床资料,采用改良Rankins(MRS)评分评价术后恢复情况.对性别、年龄、是否患糖尿病、出血部位、发病到手术时间、术前是否二次出血、出血量、切口选择、手术操作时间等可能影响术后的因素进行分析.结果见,出血量是影响神经内镜下高血压脑出血手术预后的相关独立因素(P<0.05),而其他因素不能单独影响预后(P>0.05).[讨论]出血量是影响神经内镜下高血压脑出血手术预后的独立因素,术前出血量越少术后恢复越好.

BACKGROUND To analyze the factors related to surgical prognosis of hypertensive cerebral hemorrhage under neuroendoscopy.CASE REPORTS The clinical data of 13 patients with hypertensive cerebral hemorrhage who underwent hematoma removal under neuroendoscopy between January 2018 and December 2019 were retrospectively analyzed.The modified Rankins(MRS)score was used to evaluate postoperative recovery.The factors that may affect the operation,such as gender,age,diabetes,bleeding site,onset to operation time,preoperative secondary bleeding,amount of blood loss,incision selection,operation time and so on,were analyzed.The results showed that the amount of bleeding was an independent factor affecting the prognosis of hypertensive cerebral hemorrhage under neuroendoscopy(P<0.05),while other factors could not affect the prognosis alone(P>0.05).DISCUSSION The volume of bleeding is an independent factor affecting the prognosis of hypertensive cerebral hemorrhage under neuroendoscopy.The less volume of bleeding before surgery,the better the recovery after surgery.