机器人辅助下立体定向穿刺与开颅血肿清除治疗高血压脑出血的疗效比较
A comparative study on the efficacy of robot-assisted stereotac-tic puncture and craniotomy hematoma removal in the treatment of hypertensive intracranial hemorrhage
丁俊 1张毅明 1余浩 1施健 1马奎1
作者信息
- 1. 安徽省第二人民医院 神经外科,安徽 合肥 230001
- 折叠
摘要
目的 对比分析机器人辅助下立体定向穿刺术与开颅血肿清除术治疗高血压性脑出血(HICH)的临床疗效.方法 选择2020年1月—2023年3月采用机器人辅助下立体定向穿刺术治疗的60例HICH患者作为观察组,另选同期开颅血肿清除术治疗的60例HICH患者作为对照组,比较两组患者手术时长、术中失血量、血肿清除率、住院时间、格拉斯哥昏迷(GCS)评分、美国国立卫生研究院卒中量表(NIHSS)评分、改良RANKIN量表(mRS)评分及日常生活活动能力量表(ADL)评分分级,记录并发症的发生情况.结果 两组受试者基本资料差异无统计学意义(P>0.05);观察组患者手术用时、住院时间、术中失血量方面均显著低于对照组(P<0.05),观察组患者血肿清除率要显著高于对照组(P<0.05);观察组术后1周时GCS评分、术后3个月mRS评分显著高于对照组(P<0.05),观察组术后1周和术后3个月时NIHSS评分显著低于对照组(P<0.05);观察组术后3个月ADL分级预后良好率显著高于对照组(P<0.05);观察组并发症发生率显著低于对照组(P<0.05).结论 机器人辅助下立体定向穿刺术治疗HICH疗效确切、创伤小、并发症少,值得临床推广应用.
Abstract
Objective To compare the clinical efficacy of robot-assisted stereotactic puncture with craniotomy in the treatment of hypertensive intracranial hemorrhage(HICH).Methods A total of 60 patients with HICH treated by robotic-assisted stereotactic puncture from January 2020 to March 2023 were selected as the obser-vation group,and 60 with HICH treated with craniotomy hematoma removal during the same period selected as the control group.The operation time,intraoperative blood loss,hematoma clearance rate,hospitalization time,Glasgow Coma Scale(GCS)score,National Institute of Health stroke scale(NIHSS)score,modified rankin scale(mRS)score,activity of daily living scale(ADL)grade and complications rate were compared between the two groups.Results There was no significant difference in the baseline data between the two groups(P>0.05).The operation time,hospitalization time and intraoperative blood loss in the observation group were significantly lower than those in the control group(P<0.05).The hematoma clearance rate in the former was significantly higher than the latter(P<0.05).The GCS score at 1 week after operation and mRS score at 3 months after operation in the observation group were significantly higher than the control group(P<0.05),and the NIHSS score at 1 week and 3 months after operation in the observation group was significantly lower(P<0.05);the good prognosis rate of ADL grade at 3 months after operation in the observa-tion group was significantly higher than that in the control group(P<0.05);the incidence of complications significantly lower(P<0.05).Conclusion Robot-assisted stereotactic puncture in the treatment of HICH has a definite effect,less trauma and few complications,thus being worthy of clinical promotion and application.
关键词
机器人辅助/立体定向穿刺/开颅/高血压/脑出血/疗效Key words
robot-assisted/stereotactic puncture/craniotomy/hypertension/cerebral haemorrhage/efficacy引用本文复制引用
基金项目
安徽省卫生健康科研项目(AHWJ2022b075)
出版年
2024
国家科技期刊平台
NSTL
万方数据