首页|神经内镜下血肿清除术治疗高血压脑出血患者的临床疗效研究

神经内镜下血肿清除术治疗高血压脑出血患者的临床疗效研究

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目的 分析两神经内镜下血肿清除术与传统骨瓣开颅手术治疗高血压脑出血患者的临床应用效果.方法 回顾性选取2021年1月—2023年12月东莞市滨海湾中心医院收治的62例高血压脑出血患者的临床资料,根据不同的手术方法分为两组,观察组采用神经内镜下血肿清除术,对照组采用传统骨瓣开颅手术.对比两组手术相关指标、预后相关评分及术后并发症发生情况.结果 观察组患者手术相关指标、预后相关评分均优于对照组,差异有统计学意义(P均<0.05).观察组并发症发生率为6.45%(2/31),低于对照组的32.26%(10/31),差异有统计学意义(χ2=6.613,P<0.05).结论 神经内镜下血肿清除术可以有效提高血肿清除率,缩短患者的住院时间并有助于改善患者预后,减少术后并发症的发生.
Clinical Efficacy of Neuroendoscopic Hematoma Removal Surgery in the Treatment of Hypertensive Intracerebral Hemorrhage Patients
Objective To analyze the effect of clinical application of two neuroendoscopic hematoma removals versus traditional bone flap craniotomy in the treatment of patients with hypertensive cerebral hemorrhage.Methods The clinical data of 62 hypertensive cerebral hemorrhage patients admitted to Dongguan Binhaiwan Central Hospital from January 2021 to December 2023 were retrospectively selected,and divided into two groups according to different surgi-cal methods,the observation group adopting neuroendoscopic hematoma removal surgery,and the control group adopt-ing traditional bone flap craniotomy.Surgery-related indexes,prognosis-related scores and the occurrence of postop-erative complications were compared between the two groups.Results The surgery-related indexes and prognosis-related scores of the patients in the observation group were better than those of the control group,and the differences were statistically significant(all P<0.05).The complication rate of the observation group was 6.45%(2/31),which was lower than the 32.26%(10/31)of the control group,and the difference was statistically significant(χ2=6.613,P<0.05).Conclusion Neuroendoscopic hematoma debridement can effectively increase the hematoma clearance rate,shorten the patient's hospital stay and help improve the patient's prognosis and reduce the occurrence of postoperative compli-cations.

Hypertensive intracerebral hemorrhageNeuroendoscopic hematoma removal surgeryBone flap craniotomy surgeryNeurological function

吴润华、单大勇、陈国永、陈培东

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东莞市滨海湾中心医院(东莞市第五人民医院)神经外科,广东 东莞 523900

神经内镜下血肿清除术 骨瓣开颅手术 神经功能 高血压脑出血

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(14)