神经内镜辅助手术与小骨窗开颅手术治疗高血压脑出血患者的效果对比

Comparison on Effects of Neuroendoscopy-Assisted Surgery and Small Bone Window Craniotomy in the Treatment of Patients with Hypertensive Cerebral Hemorrhage

目的对比神经内镜辅助手术与小骨窗开颅手术治疗高血压脑出血患者的效果。方法选择2019年5月至2023年1月我院收治的90例高血压脑出血患者,依据手术方式不同分为对照组(n=44)和试验组(n=46)。对照组应用小骨窗开颅手术治疗,试验组应用神经内镜辅助手术治疗。比较两组的临床指标、神经功能、预后及并发症发生情况。结果试验组手术时间、术后意识恢复时间、住院时间短于对照组,术中出血量、术后7 d的NIHSS评分低于对照组,血肿清除率、术后随访2个月的GOS评分高于对照组(P<0.05)。试验组并发症发生率为4.35%,低于对照组的20.45%(P<0.05)。结论与小骨窗开颅手术相比,神经内镜辅助手术治疗高血压脑出血患者的临床指标更佳,可明显改善患者术后神经功能和预后,且并发症发生率较低。

Objective To compare the effects of neuroendoscopy-assisted surgery and small bone window craniotomy in the treatment of patients with hypertensive cerebral hemorrhage.Methods 90 patients with hypertensive cerebral haemorrhage admitted to our hospital from May 2019 to January 2023 were divided into control group(n=44)and test group(n=46)according to different surgical methods.The control group was treated with small bone window craniotomy,and the test group was treated with neuroendoscopy-assisted surgery.The clinical indicators,neurological function,prognosis and complications were compared between the two groups.Results The surgical time,postoperative consciousness recovery time,and hospitalization time of the test group were shorter than those of the control group,the intraoperative bloodloss and the NIHSS score at 7 days after surgery were lower than those of the control group,the hematoma clearance rate and GOS score after 2 months of postoperative follow-up were higher than those of the control group(P<0.05).The incidence of complications in the test group was 4.35%,lower than 20.45%in the control group(P<0.05).Conclusions Compared with small bone window craniotomy,neuroendoscopy-assisted surgery in the treatment of patients with hypertensive cerebral haemorrhage has better clinical indicators,which can significantly improve postoperative neurological function and prognosis,with lower incidence of complications.