摘要
目的:对比高血压脑出血治疗中导航联合内镜技术与小骨窗开颅手术的效果。方法:收集2018年1-11月在笔者所在医院行手术治疗的86例高血压脑出血患者为研究对象,根据手术方式不同分成两组,研究组用导航联合内镜技术,常规组用小骨窗开颅手术,比较两组手术效果、神经功能恢复情况及预后效果。结果:研究组手术时间短于常规组,术中失血量少于对照组,血肿清除率高于对照组,住院时间短于常规组,差异均有统计学意义(P<0.05);研究组术后1、4周NFDS评分均低于常规组,差异均有统计学意义(P<0.05);研究组预后良好率为86.05%,高于常规组的67.44%,差异有统计学意义(P<0.05)。结论:高血压脑出血治疗中导航联合内镜技术比小骨窗开颅手术有着更好的应用效果,不仅手术质量好,还有助于神经功能恢复,改善预后,值得大范围推广应用。
Objective: To compare the effect of combined endoscopic technique and small-bone-window craniotomy in the treatment of hypertensive cerebral hemorrhage. Surgical treatment of hypertensive intracerebral hemorrhage. Method: A total of 86 patients with hypertensive intracerebral hemorrhage who underwent surgery in our hospital from January to November 2018 were enrolled in the study. They were divided into two groups according to different surgical methods. The study group was treated with navigation combined with endoscopy, and the routine group was treated with small bone window craniotomy. The surgical effect, neurological function recovery and prognosis were compared between the two groups. Result: The operation time in the study group was shorter than that in the routine group, the blood loss during operation was less than that in the control group, the clearance rate of hematomas was higher than that in the control group, and the hospitalization time was shorter than that in the routine group, the differences were statistically significant(P<0.05). The NDS scores of 1 week and 4 weeks after operation of the study group were lower than those of the routine group, the differences were statistically significant(P<0.05). The rate of good prognosis in the study group was 86.05%, which was significantly higher than 67.44% in the routine group, the difference was statistically significant(P<0.05). Conclusion: In the treatment of hypertensive cerebral hemorrhage, the navigation combined with endoscopic technique has better application effect than the small bone window craniotomy. It not only has good surgical quality, but also contributes to the recovery of nerve function and improves the prognosis. It is worthy of widespread application.
作者
吴佩涛
WU Peitao(Hubei Chinese and Western Medical Association Hospital,Wuhan 430000,China)
出处
《中外医学研究》
2019年第31期29-31,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
导航
内镜技术
小骨窗开颅手术
高血压脑出血
Navigation
Endoscopic technique
Small bone window craniotomy
Hypertensive cerebral hemorrhage
