摘要
目的:比较神经内镜硬通道微创术与小骨窗开颅血肿清除术治疗慢性硬膜下血肿患者的效果。方法:选取2021年2月至2023年3月该院收治的60例慢性硬膜下血肿患者进行前瞻性研究,按照随机数字表法将其分为研究组和对照组各30例。对照组采用小骨窗开颅血肿清除术治疗,研究组采用神经内镜硬通道微创术治疗。比较两组临床症状改善指标(对侧血肿厚度、中线移位幅度)水平、预后良好率和术后并发症发生率。结果:研究组对侧血肿厚度、中线移位幅度均小于对照组,差异有统计学意义(P<0.05);研究组预后良好率高于对照组,差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:神经内镜硬通道微创术治疗慢性硬膜下血肿患者可提高预后良好率,以及降低临床症状改善指标水平的效果优于小骨窗开颅血肿清除术治疗。
Objective:To compare effects of neuroendoscopic hard channel minimally invasive surgery and small bone window craniotomy hematoma removal in treatment of patients with chronic subdural hematoma.Methods:A prospective study was conducted on 60 patients with chronic subdural hematoma admitted to the hospital from February 2021 to March 2023.According to the random number table method,they were divided into study group and control group,30 cases in each group.The control group was treated with small bone window craniotomy hematoma removal,while the study group was treated with neuroendoscopic hard channel minimally invasive surgery.The levels of clinical symptom improvement indexes(contralateral hematoma thickness,midline shift amplitude),the good prognosis rate,and the incidence of postoperative complications were compared between the two groups.Results:The contralateral hematoma thickness and the midline shift amplitude in the study group were smaller than those in the control group,and the differences were statistically significant(P<0.05).The good prognosis rate of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).However,there was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusions:The neuroendoscopic hard channel minimally invasive surgery in the treatment of the patients with chronic subdural hematoma can improve the good prognosis rate and reduce the levels of clinical symptom improvement indexes.Moreover,it is superior to small bone window craniotomy hematoma removal.
作者
杨恒阳
YANG Hengyang(Department of Neurosurgery of Xinye County People’s Hospital,Nanyang 473500 Henan,China)
出处
《中国民康医学》
2024年第20期139-141,共3页
Medical Journal of Chinese People’s Health
关键词
神经内镜硬通道微创术
小骨窗开颅血肿清除术
慢性硬膜下血肿
预后
临床症状
并发症
Neuroendoscopic hard channel minimally invasive surgery
Small bone window craniotomy hematoma removal
Chronic subdural hematoma
Prognosis
Clinical symptom
Complication
