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神经内镜血肿清除术治疗重型脑室出血并铸型的作用分析

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目的:明确神经内镜血肿清除术治疗重型脑室出血并铸型的临床价值.方法:将本院 96 例患者采用随机数字表法分为对照组和观察组各48 例;对照组采用侧脑室外引流术式,观察组采用神经内镜血肿清除术;比较两组患者术前术后mGS评分,术后尿激酶用量、引流管留置时间、并发症和治疗效果.结果:术前两组患者mGS评分无统计学意义,术后差异显著,观察组低于对照组(P<0.05);术后观察组尿激酶用量、引流管留置时间和并发症发生率均低于对照组(P<0.05),治疗总有效率高于对照组(P<0.05).结论:对重型脑室出血铸型患者采用神经内镜血肿清除术,有利于改善患者临床症状,降低并发症发生率.
Analysis of the Role of Neuroendoscopic Hematoma Evacuation in the Treatment of Severe Intraventricular Hemorrhage with Intraventricular Clot Formation
Objective:To clarify the clinical value of neuroendoscopic hematoma evacuation in treating severe intraventricular hemorrhage with intraventricular clot formation.Methods:Ninety-six patients from our hospital were randomly divided into a control group and an observation group(n=48 each)using a random number table.The control group underwent lateral ventricular drainage,while the observation group received neuroendoscopic hematoma evacuation.Preoperative and postoperative mGS scores,postoperative urokinase dos-age,catheter retention time,complications,and treatment efficacy were compared between the two groups.Results:There was no significant difference in preoperative mGS scores between the two groups,but postoperative scores were significantly lower in the observation group compared to the control group(P<0.05).Postoperatively,the observation group used less urokinase,had shorter catheter retention times,and experi-enced a lower rate of complications compared to the control group(all P<0.05).Moreover,the total effective rate of treatment was higher in the observation group than in the control group(P<0.05).Conclusion:Neu-roendoscopic hematoma evacuation for patients with severe intraventricular hemorrhage and clot formation is ben-eficial for improving clinical symptoms and reducing the incidence of complications.

Neuroendoscopic Hematoma EvacuationSevere Intraventricular Hemorrhage with Intravent-ricular Clot FormationTreatment Efficacy

卢俊、杨西安、胡怡勇

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麻城市人民医院,湖北 麻城 438300

神经内镜血肿清除术 重型脑室出血并铸型 治疗效果

2024

黔南民族医专学报
黔南民族医学高等专科学校

黔南民族医专学报

影响因子:0.235
ISSN:1008-4983
年,卷(期):2024.37(2)