摘要
目的 比较神经导航联合神经内镜技术（简称：导航内镜）和小骨窗开颅（简称：小骨窗）两种手术方式治疗高血压脑出血的临床疗效.方法 将高血压脑出血需手术治疗病例共67例,随机分成导航内镜组35例和小骨窗组32例进行治疗,对比分析两组病例的手术时间、皮层切口长度、血肿清除率及术后死残率.结果 导航内镜组手术时间为（82±25） min、皮层切口为（1.5±0.2） cm、血肿清除率为（86±13）％、死亡率为2.9％（1/35）,残疾比例为19/35,死残率为57.14％;小骨窗开颅组手术时间为（125±33） min、皮层切口为（3.5±0.5）cm、血肿清除率为（72±18）％、死亡率为3.1％ （1/32）,残疾比例为18/32,死残率为59.38％;除死亡和重残率比较差异无统计学意义（P＞0.05）外,导航内镜组的其他各项指标均优于小骨窗组（P＜0.05）.结论 采用神经导航联合神经内镜技术治疗高血压脑出血可缩短手术时间、减少手术创伤、提高血肿清除率,该手术方法定位准、微创、安全、有效.
Objective To compare the curative efficiencies of neuronavigation combined with nervous endoscopy （short for navigation endoscopy） and small skull-window craniotomy （short for small window craniotomy） for hypertensive cerebral hemorrhage.Methods Sixty-seven cases of hypertensive cerebral hemorrhage were divided into two groups：35 cases given navigation endoscopy and 32 cases given small skull-window craniotomy,and operation time,cortex incision length,hematoma clearance rate and the death and disability rate after operation were compared between two groups.Results The operation time in navigation endoscopy group was （82 ± 25） min,the cortex incision was （1.5 ± 0.2） cm,the hematoma clearance rate was about （86 ± 13）%,and there was 1 death and 19 cases of disabilitywith the death and disability rate being 57.14%.The operation time in the small skull-window craniotomy group was （125 ± 33） min,the cortex incision was （3.5 ± 0.5） cm,the hematoma clearance rate was about （72 ± 18）%,and there was one death and 18 cases of disability with the death and disability rate being 59.38%.Except that there was no obvious difference in the death and disability rate,the indicators in navigation endoscopy group were superior to those in small skull-window craniotomy group （P 〈 0.05）.Conclusion Adopting neuronavigation technique combined with neuroendoscopy can shorten the operation time,reduce the surgical trauma and increase the hematoma clearance rate.Such surgical method is of correctly positioning,minimally invasive,safe and effective.
作者
阮航
杨国平
罗明
段发亮
张严国
闵强
Ruan Hang Yang Guoping Luo Ming Duan Faliang Zhang Yanguo Min Qiang(Department of Neurosurgery, Wuhan No. 1 Hospital, Wuhan 430022, China Department of Neurosurgery, Hanyang Hospital of Wuhan, Wuhan 430050, Chin)
出处
《中华实验外科杂志》
CAS
CSCD
北大核心
2016年第11期2573-2575,共3页
Chinese Journal of Experimental Surgery
基金
武汉市医药卫生临床重点学科研究项目（武卫[2008]70）
关键词
神经导航
神经内镜
高血压
脑出血
手术
Neuronavigation
Neuroendoscopy
Hypertension
Cerebral hemorrhage
Operation
