摘要
目的:探讨神经内镜微创手术治疗高血压脑出血的应用及优势。方法:2016年1月-2018年9月收治高血压脑出血患者80例,随机分为两组,各40例。常规组采取开颅手术治疗;微创组实施神经内镜微创手术。比较两组治疗效果。结果:微创组血肿清除率、手术耗时、术中出血量、日常生活能力评分、CSS神经功能缺损程度及后遗症发生率均优于常规组,差异有统计学意义(P<0.05)。结论:神经内镜微创手术治疗高血压脑出血临床效果确切,安全性高,可加速临床症状消失,更好清除血肿,改善神经功能,提高日常生活能力,缩短疗程,且可减少后遗症。
Objective:To explore the application and advantages of minimally invasive neuroendoscopic surgery for hypertensive intracerebral hemorrhage.Methods:From January 2016 to September 2018,80 patients with hypertensive cerebral hemorrhage were selected and randomly divided into two groups of 40 cases in each.The conventional group was treated with craniotomy,and the minimally invasive group was treated with neuroendoscopic minimally invasive surgery.We compared the efficacy of the two groups.Results:In the minimally invasive group,the hematoma clearance rate,operation time,intraoperative bleeding volume,daily living ability score,CSS neurological deficit degree and the incidence of sequelae were all better than those in the conventional group,the difference was statistically significant(P<0.05).Conclusion:The clinical effect of endoscopic minimally invasive surgery for hypertensive intracerebral hemorrhage is accurate and safe,it can accelerate the disappearance of clinical symptoms,clear the hematoma,improve the nerve function,improve the ability of daily life,shorten the course of treatment,and reduce the sequelae.
作者
龚勇
李瑛花
樊天禹
邓一平
向鹏
尹江柳
Gong Yong;Li Yinghua;Fan Tianyu;Deng Yiping;Xiang Peng;Yin Jiangliu(Neurosurgery Department,Changsha Central Hospital Affiliated to Nanhua University,Hunan Changsha 410000;The Third Department of Gynecology and Oncology,Cancer Hospital of Hunan Province,Hunan Changsha 410000)
出处
《中国社区医师》
2020年第11期45-46,共2页
Chinese Community Doctors
基金
湖南省自然科学基金项目(编号:2018JJ6086)。
关键词
神经内镜微创手术
高血压脑出血
应用优势
Minimally invasive neurosurgery
Hypertensive intracerebral hemorrhage
Application advantages
