广州医科大学学报
廣州醫科大學學報
엄주의과대학학보
Academic Journal of Guangzhou Medical College
2015年
4期
62-65
,共4页
叶泽驹%陈桂增%杨彬源%朱灼坤%罗伟鹏
葉澤駒%陳桂增%楊彬源%硃灼坤%囉偉鵬
협택구%진계증%양빈원%주작곤%라위붕
神经内镜%高血压脑出血%手术
神經內鏡%高血壓腦齣血%手術
신경내경%고혈압뇌출혈%수술
neuroendoscope%hypertensive intracerebral hemorrhage%surgery
目的：：探讨神经内镜在高血压脑出血手术中的临床应用价值。方法：将2014年1-6月在东莞市人民医院采用神经内镜手术治疗的20例高血压脑出血患者作为神经内镜组，选取2012年1月至2013年12月采用传统开颅手术治疗的30例高血压脑出血患者作为传统开颅组。对比两组一般手术情况、住院时间、住院费用、并发症发生率、术后6个月神经功能等。结果：神经内镜组手术时间、皮肤切口、皮层切口、骨窗大小、术中失血量、术后血肿量、ICU住院时间、总住院时间和总住院费用低于传统开颅组( P<0.05)，血肿清除量、术后6个月ADL评分、FIM评分、GOS分级优于传统开颅组(P<0.05)。术后6个月，两组均无死亡病例发生。两组术后并发症发生率比较，差异无统计学意义( P>0.05)。结论：神经内镜治疗高血压脑出血具有创伤小、费用低、预后佳的特点，值得临床应用推广。
目的：：探討神經內鏡在高血壓腦齣血手術中的臨床應用價值。方法：將2014年1-6月在東莞市人民醫院採用神經內鏡手術治療的20例高血壓腦齣血患者作為神經內鏡組，選取2012年1月至2013年12月採用傳統開顱手術治療的30例高血壓腦齣血患者作為傳統開顱組。對比兩組一般手術情況、住院時間、住院費用、併髮癥髮生率、術後6箇月神經功能等。結果：神經內鏡組手術時間、皮膚切口、皮層切口、骨窗大小、術中失血量、術後血腫量、ICU住院時間、總住院時間和總住院費用低于傳統開顱組( P<0.05)，血腫清除量、術後6箇月ADL評分、FIM評分、GOS分級優于傳統開顱組(P<0.05)。術後6箇月，兩組均無死亡病例髮生。兩組術後併髮癥髮生率比較，差異無統計學意義( P>0.05)。結論：神經內鏡治療高血壓腦齣血具有創傷小、費用低、預後佳的特點，值得臨床應用推廣。
목적：：탐토신경내경재고혈압뇌출혈수술중적림상응용개치。방법：장2014년1-6월재동완시인민의원채용신경내경수술치료적20례고혈압뇌출혈환자작위신경내경조，선취2012년1월지2013년12월채용전통개로수술치료적30례고혈압뇌출혈환자작위전통개로조。대비량조일반수술정황、주원시간、주원비용、병발증발생솔、술후6개월신경공능등。결과：신경내경조수술시간、피부절구、피층절구、골창대소、술중실혈량、술후혈종량、ICU주원시간、총주원시간화총주원비용저우전통개로조( P<0.05)，혈종청제량、술후6개월ADL평분、FIM평분、GOS분급우우전통개로조(P<0.05)。술후6개월，량조균무사망병례발생。량조술후병발증발생솔비교，차이무통계학의의( P>0.05)。결론：신경내경치료고혈압뇌출혈구유창상소、비용저、예후가적특점，치득림상응용추엄。
Objective:To investigate the clinical value of using neuroendoscopy in hypertensive intracerebral hemorrhage ( HICH) surgery. Methods:Twenty patients with HICH hospitalized and underwent neuroendoscopy in Dongguang Municipal People′s Hospital between January and June 2014 were included in the neuroendoscope group. Thirty patients with HICH hospitalized in our hospital and conventional craniotomy between January 2012 and December 2013 were included in the conventional craniotomy group. The general surgery condition, hospital stay, hospital cost, complication incidence, and neurological function at 6 months after the operation were compared between the two groups of patients. Results:The operation time, skin incision, cortex incision, bone window size, intraoperative blood loss, postoperative hematoma volume, ICU hospital stay, total hospital stay, and total hospital cost in the neuroendoscope group were significantly lower than those in the conventional craniotomy group (P<0.05). Also, the hematoma aspiration volume, and ADL scores, FIM scores and GOS grade at 6 months after the operation in the neuroendoscope group were significantly better than those in the conventional craniotomy group (P<0.05). No death cases were found in the two groups at 6 months after the operation. There was no statistically significant difference in the incidence of postoperative complications between the two groups (P>0.05). Conclusion: Neuroendoscopy has minimal trauma, low cost, and good prognosis in the treatment of HICH, which justifies its widespread use in clinical practice.
