神经内镜微创手术与开颅血肿清除术治疗高血压脑出血临床效果比较

周伟，高峰

（陕西省黄陵县人民医院，陕西 延安，727300）

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摘要：

目的 比较分析高血压脑出血经神经内镜微创手术与开颅血肿清除术治疗的临床效果。方法 收集2015年1月至2016年6月我院收治的84例高血压脑出血患者作为研究对象，随机分为试验组和对照组，每组42例。对照组给予开颅血肿清除 术治疗，试验组患者则给予神经内镜微创手术治疗，比较两组患者治疗后Glasgow 评分、手术时间、术中出血量、血肿清除 率。结果 两组Glasgow 评分I、II、IV 级发生率比较，差异无统计学意义（P>0.05）；试验组III、V 级发生率明显优于对照组 （P<0.01）。试验组患者手术时间、术中出血量均明显优于对照组（P<0.01）；试验组患者血肿清除率明显高于对照组（P<0.01）。结论 神经内镜微创手术治疗高血压脑出血的血肿清除效果较传统开颅血肿清除术更好，可有效缩短手术时间并减少术中 出血量，改善神经功能，该法安全可靠，值得临床推广应用。

关键词：高血压脑出血；神经内镜微创手术；开颅血肿清除术

中图分类号：R651.1文献标志码：A文章编号：2096-1413(2017)31-0070-02

Comparison the clinical effect of neurological endoscopic minimally invasive surgery and craniotomy hematoma evacuation in hypertensive intracerebral hemorrhage
ZHOU Wei, GAO Feng
(People``s Hospital of Huangling County, Yan``an 727300, China)

ABSTRACT: Objective To compare the clinical effects of neurological endoscopic minimally invasive surgery and craniotomy hematoma evacuation in hypertensive intracerebral hemorrhage. Methods Eighty-four cases of patients with hypertensive intracerebral hemorrhage from January 2015 to June 2016 were collected as the study objects, and all the patients were randomly divided into experimental group and control group, with 42 cases in each group. The patients in the control group were treated with craniotomy hematoma evacuation, while the patients in the experimental group were treated with neurological endoscopic minimally invasive surgery. After treatment, the Glasgow scores, operation time, intraoperative blood loss and hematoma clearance rate between the two groups were compared. Results There were no significant differences in the incidences of grade I, II and IV of Glasgow scores between the two groups (P>0.05); the incidences of grade III and V of the Glasgow scores in the experimental group were higher than those in the control group (P<0.01). The operation time and intraoperative blood loss in the experimental group were better than those in the control group (P<0.01). The hematoma clearance rate of the experimental group was higher than that in the control group (P<0.01). Conclusion Neuroendoscopic minimally invasive surgery in the treatment of hypertensive intracerebral hemorrhage on hematoma clearance is more effective than the traditional craniotomy hematoma evacuation, which can effectively shorten the operation time and reduce the amount of intraoperative blood loss, and improve the neurological function. It is safe, reliable and worthy of clinical application.
KEYWORDS: hypertensive intracerebral hemorrhage; neuroendoscopic minimally invasive surgery; craniotomy hematoma evacuation

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