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开颅手术与神经内镜治疗高血压脑出血的对比研究

  • 罗俊杰,戴永建,吕伟,林毅,田学成,曲新国

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摘要

摘要:
目的 探讨开颅手术与神经内镜在治疗高血压脑出血患者中的应用效果。

方法 选取我院2013年9月至2014年9月期间收诊的高血压脑出血患者82 名,按照随机数字法平均分成各方面相近的实验组和对照组。对照组(41 例)予以常规开颅手术治疗手段清除脑血肿,实验组(41例)予以神经内镜治疗手段清除脑血肿。比较两组患者的手术时间、手术失血量、血肿清除率以及术后3月的疗效情况。

结果 两组患者在手术时间、手术失血量、血肿清除率以及日常生活活动能力(ADL)方面均具有明显的统计学意义(P<0.01)。

结论 神经内镜较开颅手术在清除颅内血肿治疗高血压脑出血方面,具有手术时间短、出血量少、血肿清除率高、预后效果良好的优势,具有更为良好的治疗作用,值得临床进一步研究和推广应用。

关键词:关键词:高血压;脑出血;开颅手术;神经内镜

ABSTRACT

Abstract:
Objective To study the clinical application value of surgical operation and neural endoscope in the treatment of hypertensive cerebral hemorrhage patients.

Methods Selection from September 2013 to September 2014 during the diagnosis of patients with hypertensive cerebral hemorrhage, 82 cases, they were divided into experimental group and control group using random number. The control group (41 cases) received surgical operation, the experimental group (41 cases) received neural endoscopic. Compare the operation time, blood loss, hematoma clearance rate and operation in patients with hematoma clearance rate and activities of daily living (ADL) of 3 months after 3 months of operation.

Results The surgery time, blood loss, hematoma clearance rate and activities of daily living (ADL) of the two groups have significant statistical significance (P<0.01).

Conclusion   Neural endoscopic surgical operation in terms of removal of intracranial hematoma treatment of hypertensive cerebral hemorrhage, with shorter operation time, blood loss, less hematoma clearance rate is high, the prognosis of the advantages of good effect, has a better therapeutic effect, is worth further research and application in the clinical practice.

Key words: [Key words]: Hypertension; Cerebral hemorrhage; Surgical operation; Neural endoscopy

引用本文 / How to Cite This Article

罗俊杰,戴永建,吕伟,林毅,田学成,曲新国.开颅手术与神经内镜治疗高血压脑出血的对比研究[J]. 国际精神病学杂志, , (): -

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