摘要
目的:评估神经内镜辅助下经额入路治疗基底节区脑出血的效果。方法:临床资料来源于我院2016年06月至2020年01月神经外科86例脑出血病例,根据手术方式的差异将病例随机分为两组。观察组43例,采取神经内镜辅助下经额入路颅内血肿清除术,对照组43例,采取显微镜下经侧裂血肿清除术。分析两组病例术中、术后及预后情况,以及相关数据。结果:经额内镜病例组的血肿清除率为89±7.3%,对照组患者的血肿清除率为73±6.8%。经额内镜病例组的手术相关指标以及预后相关数据均优于经颞显微镜组。结论:神经内镜辅助下经额入路治疗高血压脑出血能够有效提升治疗效果,减少患者的手术时间和术中出血量,改善患者的预后。
Objective:To evaluate the effect of neuroendoscopic-assisted transfrontal approach in the treatment of intracerebral hemorrhage in Basal Ganglia.Methods:Analysis 86 cases of Basal ganglia region hemorrhage patients who underwent endoscopic surgery by transfrontal or microscopes surgery by transtemporal,including intraoperative,postoperative and prognosis,and related data.Endoscopic transfrontal group(observation group)43 Cases with Microscopes surgery group(control group)43 cases.Results:The clearance rate of Hematoma in Endoscopic transfrontal group is 89±7.3%,in microscopes surgery group is 73±6.8%.The clearance rate of Hematoma,time for surgery,amount of blood lost during surgery,biomarkers in observation group are better than the control group.The score of NIHSS、BI、mRS in observation group is better than the control group.Conclusion:Neuroendoscopic-assisted transfrontal approach for hypertensive cerebral hemorrhage can effectively improve the therapeutic effect,reduce the operation time and intraoperative bleeding,improve the prognosis of patients.
作者
李鹏
张义
杨晓
张建辉
郝亮
姚志刚
LI Peng;ZHANG Yi;YANG Xiao(Shijiazhuang Third Hospital,Hebei Shijiazhuang 050011,China)
出处
《河北医学》
CAS
2020年第10期1634-1637,共4页
Hebei Medicine
基金
河北省石家庄市科学技术研究与发展计划,(编号:161462403)。
关键词
脑出血
神经内镜
经额入路
Cerebral hemorrhage
Endoscopic
Transfrontal
