摘要
目的比较神经内镜手术与立体定向穿刺引流两种方法治疗中少量高血压脑出血的临床疗效。方法回顾性分析广州医科大学附属第三医院神经外科2013年6月至2017年6月期间收治的72例中少量高血压脑出血患者的临床资料,其中28例患者接受神经内镜手术治疗(神经内镜组),44例患者接受立体定向穿刺引流(立体定向组),比较两种方法的血肿清除率、术后再出血率以及患者的平均住院时间的差异;术后随访3个月,观察两组患者的日常生活能力(ADL)评分。结果神经内镜组患者在血肿清除率、再出血率和平均住院时间分别为(84.75±7.9)%、3.57%和(9.52±4.35)d,均明显优于立体定向组的(61.45±9.85)%、22.73%和(14.12±6.52)d,差异均有统计学意义(P<0.05);神经内镜组患者术后3个月的ADL评分中的总有效率为92.86%,明显优于立体定向组的70.45%,差异有统计学意义(P<0.05)。结论神经内镜手术治疗中少量高血压脑出血较立体定向穿刺引流更为高效和安全,值得临床上推广。
Objective To compare the therapeutic effects of nureoendoscopic surgery and stereotatic puncture drainage in the treatment of a small amount of hypertensive intracerebral hemorrhage（HICH）. Methods The clinical data of 72 HICH patients treated between June 2013 and June 2017 in the Third Affiliated Hospital of Guangzhou Medical University were analyzed, including 28 patients undergoing nureoendoscopic surgery（neuroendoscopy group） and 44 patients undergoing stereotatic puncture drainage（stereotatic group）. The rate of hematoma clearance, recurrence after operation, and the average length of hospital stay were compared between the two groups. All patients were followed up for 3 months, and the ADL scores of the patients were observed. Results The rate of hematoma clearance, recurrence rate after operation, and the average length of hospital stay were（84.75±7.95）%, 3.57%,（9.52±4.35） d in neuroendoscopy group, versus（61.45±9.85）%, 22.73%,（14.12±6.52） d in stereotatic group（P〈0.05）. The total effective rate in ADL score of neuroendoscopy group（92.86%） was significantly better than that in the stereotatic group（70.45%）, P〈0.05.Conclusion It is more effective and safer to treat the HICH patients by neuroendoscopic surgery than by stereotatic puncture drainage, which is worth to be promoted in clinic.
作者
罗鹏
钱东翔
王智坚
LUO Peng;QIAN Dong-xiang;WANG Zhi-jian.(Department of Neurosurgery,the Third Affiliated Hospital of Guangzhou Medical University, Guangzhou 510150, Guangdong, CHINA)
出处
《海南医学》
CAS
2018年第11期1600-1603,共4页
Hainan Medical Journal
关键词
高血压脑出血
神经内镜
立体定向穿刺引流
疗效
Hypertensive intracerebral hemorrhage
Neuroendoscopic
Stereotatic puncture drainage
Curative effect
