神经内镜与显微手术两种术式治疗高血压基底节区脑出血疗效对比分析.docVIP

神经内镜与显微手术两种术式治疗高血压基底节区脑出血疗效对比分析 　　【摘要】 目的 分析高血压基底节区脑出血行神经内镜和显微手术治疗的效果。方法 130例高血压基底节区脑出血患者， 按照治疗方法的不同分成对照组及观察组， 各65例。对照组行显微手术治疗， 观察组行神经内镜治疗。对比两组临床效果。结果 观察组术中出血量（48.18±10.15）ml少于对照组（152.89±34.70）ml， 血肿清除率（89.77±10.58）%高于对照组（74.19±8.12）%， 手术用时（1.90±0.50）h短于对照组（3.70±1.25）h， 差异均具有统计学意义 （t=23.3501、9.4183、10.7793， P0.05）。观察组并发症发生率为4.62%， 低于对照组的20.00%， 差异具有统计学意义 （χ2=7.1272， P0.05）。结论 高血压基底节区脑出血者行神经内镜治疗效果满意， 能够优化手术指标， 且减少并发症的发生， 可被临床推广。 　　【关键词】 高血压基底节区脑出血；显微手术；神经内镜；并发症 　　DOI：10.14163/j.cnki.11-5547/r.2017.12.024 　　【Abstract】 Objective To analyze the effect of hypertensive basal ganglia hemorrhage treated with neuroendoscopy and microsurgery. Methods A total of 130 hypertensive basal ganglia hemorrhage patients were divided by different treatment methods into control group and observation group， with 65 cases in each group. The control group received microsurgery for treatment， and the observation group received neuroendoscopy for treatment. Clinical effect was compared in two groups. Results The observation group had less intraoperative bleeding volume as （48.18±10.15） ml than （152.89±34.70） ml in the control group， higher hematoma clearance rate as （89.77±10.58）% than （74.19±8.12）% in the control group， and shorter operation time as （1.90±0.50） h than （3.70±1.25） h in the control group. Their difference had statistical significance （t=23.3501， 9.4183， 10.7793， P0.05）. The observation group had lower incidence of complications as 4.62% than 20.00% in the control group， and the difference had statistical significance （χ2=7.1272， P0.05）. Conclusion Neuroendoscopy shows satisfied treatment effect for hypertensive basal ganglia hemorrhage patients， and it can optimize operation indicators， and reduce complications. So it can be clinically promoted. 　　【Key words】 Hypertensive basal ganglia hemorrhage； Microsurgery； Neuroendoscopy； Complications 　　作为临床常见出血型卒中疾病的高血压脑出血， 为高血压一种严重性并发症， 中、老年人为其好发人群， 且约有35%～40%脑出血在基底节区， 临床一般采取手术治疗， 且伴随微创技术发展， 神经内镜和显微手术得到临床普遍应用， 但两者具体疗效临床报道较少[1，