摘要
目的探究神经内镜技术治疗高血压脑出血的临床疗效。方法回顾性分析2015年6月至2018年4月本院收治的128例高血压脑出血患者的临床资料,根据手术治疗方案不同分为内镜组和开颅组,每组64例。内镜组给予神经内镜技术治疗,开颅组给予传统开颅手术治疗,比较两组手术指标、住院指标、神经功能及并发症发生情况。结果内镜组手术时间短于开颅组,皮肤切口、皮层切口和骨窗大小均小于开颅组,术中失血量、术后血肿量少于开颅组,血肿清除量多于开颅组,差异有统计学意义(P<0.05)。内镜组重症监护室(ICU)住院时间、总住院时间均短于开颅组,总住院费用低于开颅组,差异有统计学意义(P<0.05)。内镜组日常生活能力量表(ADL)、功能独立性评定(FIM)评分均高于开颅组,差异有统计学意义(P<0.05)。内镜组并发症发生率为4.69%,显著低于开颅组的17.19%,差异有统计学意义(P<0.05)。结论神经内镜技术治疗高血压脑出血患者可有效清除血肿组织,缩短住院时间,减少术后并发症的发生,改善患者神经功能,提高患者日常生活能力,提高近、远期临床疗效。
Objective To explore the clinical efficacy of neuroendoscope technique in the treatment of hypertensive intracerebral hemorrhage.Methods The clinical data of 128 patients with hypertensive intracerebral hemorrhage admitted to our hospital from June 2015 to April 2018 were retrospectively analyzed,and they were divided into the endoscopic group and the craniotomy group according to different surgical treatment schemes,with 64 cases in each group.The endoscopic group was treated with neuroendoscopic technique,and the craniotomy group was treated with traditional craniotomy.The surgical indexes,hospitalization indexes,neurological function and complications were compared between the two groups.Results The operation time in the endoscopic group was shorter than that in the craniotomy group,the size of skin,cortical incision and bone window were smaller than those in the craniotomy group,the intraoperative blood loss and postoperative hematoma volume were less than those in the craniotomy group,and the hematoma clearance volume was more than that in the craniotomy group,and the differences were statistically significant(P<0.05).The ICU hospitalization time and total hospitalization time in the endoscopic group were shorter than those in the craniotomy group,and the total hospitalization cost was lower than that in the craniotomy group,and the differences were statistically significant(P<0.05).The scores of activity of daily living scale(ADL)and functional independence measure(FIM)in endoscopic group were higher than those in craniotomy group,and the differences were statistically significant(P<0.05).The incidence of complications in the endoscopic group was 4.69%,which was significantly lower than 17.19%in the craniotomy group,and the difference was statistically significant(P<0.05).Conclusion Neuroendoscopic technique in the treatment of patients with hypertensive intracerebral hemorrhage can effectively remove hematoma tissue,shorten the hospitalization time,reduce the occurrence of postoperative complications,improve the neurological function and the ability of daily living of patients,and improve the short-term and long-term clinical efficacy.
作者
杜海平
陶建
吕培贤
DU Haiping;TAO Jian;LYU Peixian(Department of Neurosurgery,Haijiya Hospital,Shan County,Heze,Shandong,274300,China)
出处
《当代医学》
2022年第27期40-43,共4页
Contemporary Medicine
关键词
高血压脑出血
神经内镜技术
传统开颅手术
临床疗效
Hypertensive cerebral hemorrhage
Neuroendoscopic technique
Traditional craniotomy
Clinical efficacy
