传统开颅手术与神经内镜手术治疗基底节区高血压性脑出血的效果与安全性分析

Analysis on the Effect and Safety of Traditional Craniotomy and Neuroendoscopic Surgery for the Treatment of Hypertensive Intracerebral Hemorrhage of Basal Ganglion

目的探讨传统开颅手术与神经内镜手术治疗基底节区高血压性脑出血的效果与安全性。方法回顾性分析102例基底节区高血压性脑出血患者的临床资料,根据不同手术方式分为两组。对照组进行传统开颅手术,观察组进行神经内镜手术。比较两组的手术疗效以及预后。结果观察组的术中出血量少于对照组,血肿清除率高于对照组,术后再出血率以及术后并发症发生率均低于对照组,术后GOS优良率高于对照组(P<0.05)。结论与传统开颅手术相比,神经内镜手术可显著提高基底节区高血压性脑出血患者的血肿清除率,减少术中出血量,减少术后出血和并发症。

Objective To explore the effect and safety of traditional craniotomy and neuroendoscopic surgery for the treatment of hypertensive intracerebral hemorrhage(HICH)of basal ganglion.Methods The clinical data of 102 patients with HICH of basal ganglion were analyzed retrospectively.All cases were divided into two groups according to different surgical methods.The control group received traditional craniotomy,and the observation group received neuroendoscopic surgery.The surgical efficacy and prognosis were compared between two groups.Results The intraoperative blood loss amount of observation group was less than that of control group,the elimination rate of hematoma was higher than that of control group,the postoperative rebleeding rate and incidence of postoperative complications were lower than those of control group,and the excellent and good rate of postoperative GOS was higher than that of control group(P<0.05).Conclusions Compared with traditional craniotomy,neuroendoscopic surgery can significantly improve the elimination rate of hematoma in patients with HICH of basal ganglion,reduce the amount of intraoperative blood loss,and reduce postoperative bleeding and complications.