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神经内镜微创手术治疗高血压脑出血的疗效评估

  • 段飞,赵悦,赵虎威,王国飞

* 通信作者: 段飞, 单位:咸阳市第一人民医院

摘要

摘要
目的:探讨神经内镜微创手术治疗高血压脑出血的临床价值。

方法:将我院2011年11月至2014年12月期间收治的80例高血压脑出血患者平均分成两组,对照组采用开颅血肿清除术,实验组采用神经内镜微创手术治疗。对比两组手术方式的术中出血量、手术时间、血肿清除率、预后、神经功能及日常生活能力。

结果:实验组患者的术中出血量、手术时间明显少于对照组(P<0.01),血肿清除率明显高于对照组(P<0.01),临床预后显著优于对照组(P<0.01)。手术前,两组患者的脑卒中神经功能缺损评分(CSS)及日常生活能力(ADL)评分无显著差异,术后6个月,两组CSS、ADL评分均有明显降低,而实验组的CSS、ADL评分显著低于对照组(P<0.01)。

结论:神经内镜微创手术是一项安全有效的高血压脑出血治疗手段,对于维护患者生命健康具有重要意义。

关键词:关键词 高血压脑出血;神经内镜微创手术;血肿清除;预后

ABSTRACT

Abstract
Objective: To explore the clinical value of neural endoscopic minimally invasive surgery in the treatment of hypertensive cerebral hemorrhage.

Methods: 80 hospitalized hypertensive cerebral hemorrhage from November 2011 to December 2014 in our hospital were divided into two groups. Patients in control group were treated with craniotomy evacuation of hematoma, while those in experimental group were cured with neural endoscopic minimally invasive surgery. Compare the intraoperative blood loss, operation time, hematoma clearance rate, prognosis, nerve function and ability of daily living of these two groups.

Results: The intraoperative blood loss, operation time of experimental group were significantly less than control group (P<0.01), hematoma clearance rate was considerably higher than control group (P<0.01), clinical prognoses outcomes were markedly better than control group (P<0.01). Before treatment, the CSS and ADL scores of the two groups had no significant difference, after 6 months of surgery, the CSS and ADL scores of the two groups reduced significantly, the CSS and ADL scores of the experiment group were considerably lower than control group (P<0.01).

Conclusion  : Neural endoscopic minimally invasive surgery is a safety and effective iatrotechnics in the treatment of hypertensive cerebral hemorrhage and has important significance in protecting the patients’ life health.

Key words: Key words: hypertensive cerebral hemorrhage; neural endoscopic minimally invasive surgery; hematoma clearance; prognoses

引用本文 / How to Cite This Article

段飞,赵悦,赵虎威,王国飞. 神经内镜微创手术治疗高血压脑出血的疗效评估[J]. 国际精神病学杂志, , (): -

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