| 摘要: |
| ［摘要］ 目的 比较神经内镜与小骨窗开颅治疗高血压基底节区脑出血的疗效。方法 选取2015-01～2016-03就诊于该院的90例高血压基底节区脑出血患者，按随机数字表法分为观察组和对照组各45例。对照组实施小骨窗开颅血肿清除术，观察组实施神经内镜辅助血肿清除术。比较两组临床疗效、手术情况、血肿清除率和术后并发症发生率。结果 观察组治疗总有效率高于对照组，差异有统计学意义（P<0.05）；观察组术中出血量、手术时间、术后住院时间、术后并发症发生率均明显低于对照组，而血肿清除率高于对照组，差异有统计学意义（P<0.05）。结论 与小骨窗开颅相比，神经内镜辅助血肿清除术治疗高血压基底节区脑出血能提高患者临床疗效，具有治疗时间短、手术出血量少、并发症发生率低等优势，且血肿清除更彻底，值得临床推广。 |
| 关键词: 神经内镜 小骨窗开颅 高血压 脑出血 |
| DOI：10.3969/j.issn.1674-3806.2017.11.20 |
| 分类号:R 616.5 |
| 基金项目: |
|
| Comparison of curative effect of endoscopic and small bone flap craniotomy in treatment of hypertensive cerebral hemorrhage in basal ganglia |
|
SHI Shao-jun
|
|
Department of Surgery, Anyang Light House Hospital, Henan 455000, China
|
| Abstract: |
| ［Abstract］ Objective To explore the curative effect of endoscopic ganglia and small bone flap craniotomy in the treatment of hypertensive hemorrhage in basal ganglia.Methods From January 2015 to March 2016, 90 patients with hypertensive basal ganglia hemorrhage in our hospital were randomly divided into two groups, with 45 cases in each group. The control group received small bone window craniotomy, and the observation group received endoscope assisted hematoma. The clinical curative effect, operation condition, hematoma clearance rate and the incidence rate of postoperative complications were compared between the two groups.Results The effective rate of the treatment group was more significantly elevated than that of the control group（P<0.05）. The amount of bleeding, operation time, postoperative hospitalization time and postoperative complication rate in the treatment group were significantly lower than those in the control group. The hematoma clearance rate of the treatment group was higher than than of the control group(P<0.05).Conclusion Endoscope assisted hematoma has better clinical effect, shorter treatment time, less bleeding and complications than small craniotomy in the treatment of hypertensive cerebral hemorrhage in basal ganglia. |
| Key words: Endoscope Small craniotomy Hypertension Cerebral hemorrhage |
