基底节区脑出血患者神经内镜微创术治疗的临床研究

Clinical Study on the Treatment of Patients With Cerebral Hemorrhage in Basal Ganglia Region by Minimally Invasive Neuroendoscopic Surgery

目的探究基底节区脑出血患者行神经内镜微创术治疗的临床效果。方法选取2017年3月—2020年3月本院收治的120例基底节区脑出血患者,根据手术方式的不同分为对照组和观察组,对照组55例行小骨窗开颅显微术,观察组65例行神经内镜微创术,观察比较两组的手术疗效。结果观察组术中出血量明显少于对照组,血肿清除率明显高于对照组,手术时长、住院时间均明显短于对照组,差异有统计学意义(P<0.05)。观察组术后3、7 d的颅内压明显低于对照组,差异有统计学意义(P<0.05)。观察组术后1、6个月的GOS、ADL评分均明显高于对照组,差异有统计学意义(P<0.05)。结论神经内镜微创术治疗基底节区脑出血患者的手术效果突出,既可改善手术指标、降低颅内压,又可帮助患者获得良好预后,值得推广。

Objective To explore the clinical effect of minimally invasive neuroendoscopic surgery for patients with cerebral hemorrhage in basal ganglia region.Methods A total of 120 patients with basal ganglia cerebral hemorrhage admitted to our hospital from March 2017 to March 2020 According to different surgical methods,the control group and the observation group were divided into control group and observation group.55 patients in the control group underwent small bone window craniotomy microsurgery,while 65 patients in the observation group underwent neuroendoscopic microsurgery.Results The amount of intraoperative blood loss in the observation group was significantly less than that in the control group,the rate of hematoma clearance was significantly higher than that in the control group,the duration of operation and hospitalization were significantly shorter than that in the control group,and the difference was statistically significant(P<0.05).The intracranial pressure of the observation group was significantly lower than that of the control group on day 3 and 7 after operation,and the difference was statistically significant(P<0.05).The GOS and ADL scores of the observation group were significantly higher than those of the control group at 1 and 6 months after operation,and the difference was statistically significant(P<0.05).Conclusion Neuroendoscopic microtrauma in the treatment of patients with basal ganglia intracerebral hemorrhage has outstanding surgical effect,which can not only improve surgical indexes,reduce intracranial pressure,but also help patients get a good prognosis,and is worthy of promotion.