CAJ | 학술논문

目的：观察神经内镜血肿清除术与立体定向抽吸术治疗高血压性脑出血的疗效，为临床治疗高血压脑出血提供参考依据。方法将120例高血压性脑出血患者随机分为试验组和对照组各60例，试验组行神经内镜血肿清除术，对照组行立体定向抽吸术，比较2组治疗效果。结果试验组血肿清除率高于对照组，肺部感染发生率显著低于对照组，术后3 d平均格拉斯哥昏迷评分明显高于对照组；试验组术后12个月格拉斯哥预后量表评分以及术后3、6、12个月的活动能力状况均高于对照组（P＜0．05）。结论神经内镜血肿清除术治疗高血压性脑出血的近期和远期疗效均优于立体定向抽吸术，值得在临床上推广应用。
목적：관찰신경내경혈종청제술여입체정향추흡술치료고혈압성뇌출혈적료효，위림상치료고혈압뇌출혈제공삼고의거。방법장120례고혈압성뇌출혈환자수궤분위시험조화대조조각60례，시험조행신경내경혈종청제술，대조조행입체정향추흡술，비교2조치료효과。결과시험조혈종청제솔고우대조조，폐부감염발생솔현저저우대조조，술후3 d평균격랍사가혼미평분명현고우대조조；시험조술후12개월격랍사가예후량표평분이급술후3、6、12개월적활동능력상황균고우대조조（P＜0．05）。결론신경내경혈종청제술치료고혈압성뇌출혈적근기화원기료효균우우입체정향추흡술，치득재림상상추엄응용。
Objective To evaluate the curative effect of neural endoscopic hematoma evacuation surgery and stereotactic aspiration surgery for hypertensive intracerebral hemorrhage. Methods One hundred and twenty cases of hypertensive intracerebral hemorrhage patients in the hospital were randomly divided into experimental group (n=60)and control group (n=60), experimental group was given CT-guided neural endoscopic surgery,control group stereotactic aspiration surgery.The curative effect was compared between two groups.Results The hematoma evacuation rate of experimental group was higher than that of control group,the incidence of pulmonary infection of experimental group was significantly lower than that of control group.At 3 d after operation,the average Glasgow coma scale of experimental group was significantly higher than that of control group;Glasgow outcome scale 12 months after surgery and barthel index 3,6, 1 2 months after surgery of experimental group were higher than those of control group (P<0.05).Conclusion Recent efficacy and long-term efficacy of endoscopic hematoma evacuation surgery for hypertensive cerebral hemorrhage are superior to those of stereotactic aspiration, which deserves populization in clinic.