【摘要】 目的观察神经导航联合神经内镜治疗高血压脑出血的临床疗效。方法 132例高血压脑出血患者,应用神经导航联合神经内镜治疗高血压脑出血50例(神经内镜组)与常规开颅血肿清除术治疗高血压脑出血82例(常规手术组)临床资料进行回顾性分析,比较两组的手术时间、术中失血量、血肿清除率及术后6个月日常生活能力(ADL)。结果神经内镜组平均手术时间[(2.1±1.2)小时],明显短于常规手术组[(4.1±2.1)小时](P<0.01)。平均失血量神经内镜组为(52.5±11.3)ml,常规手术组为(458.2±185.2)ml,两组比较差异有统计学意义(t=6.125,P<0.01)。神经内镜组颅内血肿平均清除率[(94.8±5.2)%]明显高于常规手术组[(81.2±18.8)%](P<0.05)。依据ADL分级法,神经内镜组预后优于常规手术组(P<0.05)。结论神经导航联合神经内镜治疗高血压脑出血手术切口小,骨窗小,手术时间短,术中失血量少等优势。更多还原

【Abstract】 Objective To explore neuronavigation-assisted neuroendoscopy for hypertensive cerebral hemorrhage.Methods Two methods of surgery were retrospectively analyzed:the endoscopy group(50 cases) and craniotomy group(82 cases).Surgical operation time,intraoperative blood loss,hematoma clearance rate and postoperative ability of daily life(ADL) in 6 months were observed.Results The average operation time[(2.1±1.2)h vs(4.1±2.l)h,P<0.01]of the endoscopy group was significantly shorter than that of craniotomy group.Blood loss[(52.5 ± 11.3)mlvs(458.2 ± 185)ml,P<0.01]in the endoscopy group,was much less than that of craniotomy group.Rates of hematoma evacuation[(94.8 ±5.2)%vs(81.2 ±18.8)%,P<0.05]in endoscopy groupwere higher compared with craniotomy group.On the basis of ADL grading method,the prognosis of Neuronavigation-assisted neuroendoscopy was better than that of the craniotomy(P < 0.05).Conclusion For hypertensive cerebral hemorrhage,neuronavigation-assisted neuroendoscopyhas the advantages of minimal trauma,short operation time,and limited blood loss.更多还原