| 摘要: |
| 目的回顾性分析神经内镜手术及常规开颅手术对高血压脑出血患者的治疗效果。方法回顾性分析我院神经外科2014年1月至2016年1月期间收治的66例手术治疗的高血压脑出血患者,分为神经内镜组及常规开颅组。其中神经内镜组29例,常规开颅组37例。术后随访6个月。通过对比神经内镜手术与常规开颅手术的手术时间、血肿清除率、住院时间及术后6个月ADL评分的统计学差异。结果手术时间神经内镜组(2.2±0.5)h、常规开颅组(3.7±1.1)h,差异有统计学意义(P<0.01);血肿清除率神经内镜组(93.5±4.7)%,常规开颅组(90.5±5.2)%,差异有统计学意义(P<0.05);住院时间神经内镜组(22.4±5.6)d,常规开颅组(32.2±9.9)d,差异有统计学意义(P<0.01);ADL评分:神经内镜组Ⅰ级(61分以上)19例、Ⅱ级(41~60分)7例、Ⅲ(40分以下)3例,常规开颅Ⅰ级(61分以上)12例、Ⅱ级(41~60分)18例、Ⅲ(40分以下)7例,差异有统计学意义(X~2=7.156、P=0.028)。结论运用神经内镜技术治疗高血压脑出血具有创伤小,恢复快,疗效好等优点。 |
| 关键词: 高血压脑出血 神经内镜 常规开颅手术 |
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| Curative Effect of Neuroendoscopic Surgery and Conventional Craniotomy in Treatment of Hypertensive Encephalorrhagia: A Retrospective Analysis |
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Yang Yumin;Liu Zhiyi;Long Xiaodong
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Deyang People’s Hospital
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| Abstract: |
| Objective The curative effect of neuroendoscopic surgery and conventional craniotomy for the treatment of patients with hypertensive encephalorrhagia was retrospectively analyzed.Methods 66 cases of patients with hypertensive encephalorrhagia admitted and treated by surgery between January 2014 and January 2016 in the department of neurosurgery in our hospital were retrospectively analyzed,who were divided into Neuroendoscopy Group( 29 cases) and Conventional Craniotomy Group( 37cases).The patients were followed up for 6 months after surgery.The operation time,clearance rate of hematoma,length of stay and ADL scores 6 months after surgery of the two surgical options were compared.Results The operation time of Neuroendoscopy Group was( 2. 2±0. 5) h,while( 3. 7± 1. 1) h for Conventional Craniotomy Group,the difference being statistically significant( P<0. 01).The hematoma clearance rate of Neuroendoscopy Group was( 93. 5± 4. 7) %,and( 90. 5± 5. 2) % for Conventional Craniotomy Group,the difference being statistically significant( P<0. 05).The length of stay of Neuroendoscopy Group was( 22. 4 ± 5. 6) d,and( 32. 2±9. 9) d for Conventional Craniotomy Group,the difference being statistically significant( P<0. 01).As for ADL scores,in Neuroendoscopy Group,19 cases graded Ⅰ( scored above 61 points),7 cases graded Ⅱ( scored between 41 and 60 points),3 cases graded Ⅲ( scored below 40 points) and in Conventional Craniotomy Group,12 cases graded Ⅰ( scored above 61 points),18 cases graded Ⅱ( scored between 41 and 60 points),7 cases graded Ⅲ( scored below 40 points),the difference was statistically significant( X~2= 7. 156、P= 0. 028).Conclusion The use of neuroendoscopy in the treatment of hypertensive encephalorrhagia has advantages of less trauma,quicker recovery and better curative effect. |
| Key words: hypertensiveencephalorrhagia neuroendoscopy conventionalcraniotomy |
