摘要
目的比较神经内镜技术与立体定向技术应用于高血压性脑出血(HICH)的临床治疗效果。方法选取接受神经内镜血肿清除术治疗的30例HICH患者作为观察组,同期接受立体定向血肿抽吸术治疗的30例HICH患者作为对照组,比较2组的临床疗效。结果观察组的手术时间与术中失血量显著多于对照组(P<0.05);观察组的血肿清除率显著高于对照组(P<0.05);术后6个月观察组的GOS评分及预后分级均显著优于对照组(P<0.05);术后观察组的GCS评分及BI指数均显著高于对照组(P<0.05);观察组术后并发症发生率为13.33%,显著低于对照组的23.33%(P<0.05)。结论相比于立体定向手术,神经内镜下血肿清除术的近远期疗效更为显著。
Objective To compare the therapeutic effect of endoscopic technique and ster- eotactic technique on the treatment of patients with hypertensive intra-cerebral hemorrhage （HICH）. Methods Thirty HICH patients treated with endoscopic hematoma clearance surgery was selected as observation group, and 30 HICH patients with stereotactic hematoma aspiration was selected as control group. Clinical efficacy was compared between the two groups. Results In the observation group, the operating time and blood loss were significantly longer and larger than the control group （ P 〈 0.05 ）. In the observation group, hematoma clearance rate was significantly higher than the control group （P 〈 0.05）. Six months after operation, GOS score and prognosis grading in the observation group were significantly better than the control group （ P 〈 0.05 ） , and postoperative GCS score and Barthel index were significantly higher than the control group （P 〈 0.05）. In the observation group, the postoperative incidence rate of complications was 13.33% , which was significantly lower than 23.33% in the control group （ P 〈 0.05 ）. Conclusion Compared with stereotactie surgery, the short-term and long- term effects of endoscopic hematoma evacuation are better.
出处
《实用临床医药杂志》
CAS
2016年第24期20-22,42,共4页
Journal of Clinical Medicine in Practice
关键词
高血压性脑出血
神经外科
神经内镜
立体定向
hypertensive cerebral hemorrhage
department of neurosurgery
neural endoscopy
stereotactie technique
