机器人导航辅助脑深部血肿穿刺引流术治疗高血压性脑出血的临床效果分析

Clinical Effect Analysis of Robot Navigation Assisted Deep Brain Hematoma Puncture Drainage for the Treatment of Hypertensive Intracerebral Hemorrhage

【目的】探讨机器人导航辅助脑深部血肿穿刺引流术治疗高血压性脑出血的临床效果。【方法】回顾性分析2022年1月至2023年12月本院收治的42例高血压性脑出血患者的临床资料,根据手术方式不同分为开颅显微镜手术组(显微镜组,n=15)、小骨窗内镜手术组(内镜组,n=11)、机器人导航穿刺引流组(机器人穿刺组,n=16)。比较三组患者一般资料及术前格拉斯哥昏迷评分(GCS评分)、术后格拉斯哥预后评分(GOS评分)、手术前后肌力情况、预后情况。【结果】三组性别、年龄、血肿量、中线偏移、GCS评分、术前肌力、GOS评分、术前肌力、术后肌力、去骨瓣减压所占比例、入住ICU时间、入住普通病房时间、死亡情况比较,差异均无统计学意义(P>0.05)。三组患者术前均存在不同程度的肌力受损情况,经不同的手术方式治疗后,肌力均得到明显好转。【结论】机器人导航辅助脑深部血肿穿刺引流术治疗出血量在20~50 mL的高血压性脑出血患者,临床效果较好,安全性较高,对促进患者神经功能恢复、缩短治疗周期、改善患者预后具有积极作用。

【Objective】To explore the clinical effect of robot navigation assisted deep brain hematoma puncture drainage in the treatment of hypertensive intracerebral hemorrhage.【Methods】A retrospective analysis was conducted on the clinical data of 42 patients with hypertensive intracerebral hemorrhage admitted to our hospital from January 2022 to December 2023.According to different surgical methods,they were divided into three groups:craniotomy microscope surgery group(microscope group,n=15),small bone window endoscopic surgery group(endoscope group,n=11),and robot guided puncture drainage group(robot puncture group,n=16).The general information,preoperative Glasgow Coma Scale(GCS),postoperative Glasgow Outcome Scale(GOS),preoperative and postoperative muscle strength,and prognosis of the three groups were compared.【Results】There was no statistically significant difference in gender,age,hematoma volume,midline deviation,GCS score,preoperative muscle strength,GOS score,preoperative muscle strength,postoperative muscle strength,proportion of bone flap decompression,ICU stay time,general ward stay time,and mortality among the three groups(P>0.05).All three groups of patients had varying degrees of muscle strength damage before surgery,and after different surgical treatments,muscle strength improved significantly.【Conclusion】Robot navigation assisted deep brain hematoma puncture drainage surgery has good clinical efficacy and high safety in the treatment of hypertensive intracerebral hemorrhage patients with bleeding volume of 20-50 mL.It has a positive effect on promoting the recovery of patients'neurological function,shortening the treatment period,and improving patient prognosis.