神经内镜微创手术在治疗丘脑出血中的临床价值

Clinical Value of Neuroendoscopic Minimally Invasive Surgery in the Treatment of Thalamic Hemorrhage

目的:探讨神经内镜微创手术在治疗下丘脑出血中的临床价值。方法:选取2016年1月~2020年8月本院神经外科住院的丘脑出血患者共80例,分为神经内镜微创手术治疗的观察组40例,单纯丘脑血肿引流术治疗的对照组40例,比较两组患者血肿大小、手术情况以及格拉斯哥评分。结果:观察组术后1d和术后7d血肿大小均小于对照组,观察组手术时间和术中出血量均高于对照组,观察组术后引流时间少于对照组,观察组3个月后GOS评分的优良率较对照组高,以上指标差异均具有统计学意义(P<0.05)。结论:神经内镜微创手术在治疗丘脑出血中具有良好的临床价值。

Objective:To investigate the clinical value of neuroendoscopic minimally invasive surgery in the treatment of hypothalamic hemorrhage.Methods:From January 2016 to August 2020,80 patients with thalamic hemorrhage in neurosurgery department of our hospital were selected and divided into observation group(n=40)with minimally invasive neuroendoscopic surgery(n=40)and control group(n=40)with drainage of simple thalamic hematoma.The hematoma size,operation condition and Glasgow score of the two groups were compared.Results:The size of hematoma in the observation group was smaller than that in the control group 1 day and 7 days after operation.The operation time and intraoperative blood loss in the observation group were higher than those in the control group.The postoperative drainage time in the observation group was less than that in the control group.The excellent and good rate of GOS score in the observation group after 3 months was higher than that in the control group,and the above differences were statistically significant(P<0.05).Conclusion:Neuroendoscopic minimally invasive surgery in the treatment of thalamic hemorrhage has good clinical value.