探讨神经内镜微创手术治疗高血压丘脑出血的效果

Exploring the Effect of Neuroendoscopic Minimally Invasive Surgery in the Treatment of Hypertensive Thalamic Hemorrhage

目的探究神经内镜微创手术治疗高血压丘脑出血的治疗效果并进行分析。方法方便选取该院神经外科于2019年2月—2020年5月收治的高血压丘脑出血患者80例,摸球法将其分为观察组与对照组,观察组采取神经内镜微创手术治疗,对照组采取脑室穿刺外引流术进行治疗。记录并分析两组患者的术中出血量、切口长度、血肿清除率、术后并发症(再出血以及颅内感染)发生率以及对治疗后的Barthel指数。结果观察组患者的术中出血量、切口长度以及血肿清除率各项手术指标(25.30±7.50)mL、(2.70±0.26)cm、(92.65±9.16)%明显优于对照组患者(110.30±33.70)mL、(5.50±0.70)cm、(72.16±16.24)%,差异有统计学意义(t=15.571、23.715、6.950,P<0.05);观察组再出血以及颅内感染发生率(5.00%)与对照组(25.00%)相比,差异有统计学意义(χ^(2)=6.275,P<0.05);治疗后,观察组Barthel指数(61.68±10.26)分明显优于对照组(40.68±10.26)分,差异有统计学意义(t=9.154,P<0.05)。结论对高血压丘脑出血患者患者实施神经内镜微创手术进行治疗可以降低患者低术后并发症的发生率,提高患者Barthel指数,有效提高患者血肿清除率,降低其手术出血量以及切口长度,有良好的应用价值及前景。

Objective To explore and analyze the therapeutic effect of neuroendoscopic minimally invasive surgery in the treatment of hypertensive thalamic hemorrhage.Methods A total of 80 patients with hypertensive thalamic hemorrhage conducted in the neurosurgery department of the hospital from February 2019 to May 2020 were conveniently selected.They were divided into observation group and control group by touch ball method,the observation group was treated with neuroendoscopic minimally invasive surgery,and the control group was treated with ventricular puncture and external drainage.The blood loss,incision length and hematoma clearance rate,the probability of postoperative complications(rebleeding and intracranial infection),and the Barthel index of the two groups of patients after treatment during operation of the two groups was recorded and analyzed.Results The blood loss,incision length and hematoma clearance rate of the observation group(25.30±7.50)mL,(2.70±0.26)cm,and(92.65±9.16)%were significantly better than those of the control group(110.30±33.70)mL,(5.50±0.70)cm,(72.16±16.24)%,the difference was statistically significant(t=15.571,23.715,6.950,P<0.05);the incidence of rebleeding and intracranial infection in the observation group(5.00%)compared with the control group(25.00%),and the difference was statistically significant(χ^(2)=6.275,P<0.05);after treatment,the Barthel index of patients in the observation group(61.68±10.26)points was significantly better than the control group(40.68±10.26)points,the difference was statistically significant(t=9.154,P<0.05).Conclusion Neuroendoscopic minimally invasive surgery for patients with hypertensive thalamic hemorrhage can reduce the incidence of low postoperative complications,increase the patient’s Barthel index,effectively increase the patient’s hematoma clearance rate,reduce the amount of surgical bleeding and the length of the incision.It has good application value and prospects.