脑室镜下脑血肿清除术临床应用效果及对脑血流影响观察.docVIP

脑室镜下脑血肿清除术临床应用效果及对脑血流影响观察 　　【摘要】 目的：探?脑室镜下脑血肿清除术的临床应用效果及其对脑血流的影响，为临床治疗方法提供参考依据。方法：选取本院收治的脑内血肿患者83例，按照随机数字表法分为对照组（41例）和研究组（42例）。对照组采用传统开颅血肿清除手术，研究组采用脑室镜下血肿清除术。对比分析两组患者术中出血量、手术时间、血肿清除率、脑血流情况及治疗总有效率。结果：研究组患者的术中出血量、手术时间、血肿清除率分别为（45.86±4.31）mL、（67.32±30.14）min、（81.43±2.48）%，均明显优于对照组的（356.74±43.29）mL、（204.58±53.22）min、（69.61±2.75）%，差异均有统计学意义（P0.05）。研究组术后平均血流速度（Vmaen）、平均血流量（Qmean）分别为（54.93±4.22）cm/s、（51.42±3.84）mL/s，均明显优于对照组的（46.18±6.73）cm/s、（30.76±3.27）mL/s，差异均有统计学意义（P0.05）。研究组治疗总有效率为97.62%，明显高于对照组的82.93%，差异有统计学意义（P0.05）。结论：脑室镜下清除脑内血肿，能有效减少术中出血量，改善脑血流相关指标，提高手术总有效率，是一种创伤性低、安全性高的手术方式。 　　【关键词】 脑血肿； 脑室镜下； 清除术； 脑血流； 临床效果 　　The Effect of Clinical Application and Cerebral Blood Flow of Cerebral Hematoma Removal Surgery with Ventricular Endoscopy/WANG Zheng.//Medical Innovation of China，2017，14（09）：063-066 　　【Abstract】 Objective：To explore the clinical application effect of intraventricular hematoma clearance and its influence on cerebral blood flow，and to provide reference for clinical treatment.Method：A total of 83 cases with intracerebral hematoma were admitted in our hospital，they were divided into the control group（41 cases） and the research group（42 cases），according to random number table method.The control group was treated with traditional craniotomy and hematoma removal surgery，the research group was treated with endoscopic hematoma evacuation.Blood loss，operation time，hematoma clearance rate，cerebral blood flow and treatment efficiency of the two groups were compared.Result：The blood loss，operation time and hematoma clearance rate of the research group were （45.86±4.31）mL，（67.32±30.14）min，（81.43±2.48）%，which significantly better than （356.74±43.29）mL，（204.58±53.22）min，（69.61±2.75）% of control group，the differences were statistically significant（P0.05）.The mean blood flow velocity（Vmaen） and average blood flow（Qmean） of research group were （54.93±4.22）cm/s，（51.42±3.84）mL/s，which significantly better than （46.18±6.73）cm/s，（30.76±3.27）mL/s in control group， the differ