摘要
目的 观察神经内镜微创颅内血肿清除术与开颅血肿清除术治疗高血压脑出血的临床效果.方法 2015年1月至2016年6月我院神经外科收治的60例高血压脑出血患者作为观察对象,根据脑出血手术方法不同将所有患者分为对照组32例（实施开颅血肿清除术）和研究组28例（实施神经内镜微创颅内血肿清除术）.比较两组患者手术时间和术中出血量,手术前后血肿吸收情况以及预后情况的差异.结果 研究组与对照组患者手术时间[（132.6±35.4） min与（236.5±46.2） min]和术中出血量[（49.8±12.3） ml与（263.5±49.8） ml]比较,研究组均明显少于对照组,差异有统计学意义（t值分别为6.532和9.548,P均〈0.05）.研究组与对照组患者术后血肿量[（6.8±1.5） ml与（16.3±3.1） ml]和血肿清除率[（82.7±6.3）%与（57.8±5.2）%]比较,研究组患者术后血肿量明显小于对照组,而血肿清除率明显升高,差异均有统计学意义（t值分别为6.584和-5.263,P均〈0.05）.研究组患者ADL评估情况明显优于对照组,且病死率3.6%（1/28）也明显低于对照组21.9%（7/32）,差异均有统计学意义（χ2值分别为10.580和4.329,P均〈0.05）.结论 神经内镜血肿清除术治疗高血压脑出血效果显著,对机体损伤小,能够明显提高预后效果.
Objective To discuss the efficacy of neural endoscopic and surgical operation in patients with cerebral hemorrhage induced by hypertension.Methods Sixty cases with cerebral hemorrhage induced by hypertension admitted at the People′s Hospital of Bortala from January 2015 to June 2016 were divided into the control group（n=32） and research group（n=28） according to cerebral hemorrhage surgical method.The patients of the control group were given conventional surgical operation treatment while the observation group were given neural endoscopic treatment.The operative time and intraoperative blood loss,and situation of hematoma absorption before and after operation and prognosis between the two groups were compared.Results The operative time and intraoperative blood loss of the two groups were respectively （132.6±35.4） min,（49.8±12.3） ml and （236.5±46.2） min,（263.5±49.8） ml,the observation group were obviously lower than that of the control group,the differences were statistically significant（t=6.532,9.548,all P〈0.05）.The preoperative hematoma volume,postoperative hematoma volume and hematoma clearance of the two groups were respectively （6.8±1.5） ml,（82.7±6.3）% and （16.3±3.1） ml,（57.8±5.2）%,the postoperative hematoma volume of observation group were obviously lower than that of the control group while the hematoma clearance obviously increased,the differences were statistically significant（t=6.584,-5.263,all P〈0.05）.The ADL assessment in patients of observation group was better than the control group and the death rate was lower than that of control group,the differences were statistically significant（3.6%（1/28） vs.21.9%（7/32）,χ2=10.580,4.329,all P〈0.05）.Conclusion The efficacy of neural endoscopic applied in patients with cerebral hemorrhage induced by hypertension is remarkable,it causes little damage to the body and can obviously improve the effect of prognosis,it is worth popularization and application.
作者
司马义·依迪热斯
董兴红
王春霞
巴吐鲁呼
Simayi·yidiresi Dong Xinghong Wang Chunxia Batuluhu(Neurosurgery Department, the People＇s Hospital of Bortala, Bortala 833400, Chin)
出处
《中国综合临床》
2017年第4期349-352,共4页
Clinical Medicine of China
关键词
神经内镜
开颅手术
高血压
脑出血
预后
Endoscopic
Surgical operation
Hypertension
Cerebral hemorrhage
Prognosis
