【摘要】 目的对比分析神经内镜微创手术与微创血肿穿刺引流术治疗高血压脑出血的临床疗效。方法选取我院2017年8月—2019年1月收治的80例高血压脑出血患者,随机分为对照组和研究组,给予对照组患者微创血肿穿刺引流术治疗,给予研究组患者神经内镜微创手术,对比分析两组患者治疗效果。结果在给予两组患者不同治疗措施之后,研究组患者治疗总有效率为92.5%,对照组患者治疗总有效率为75.0%,两组患者在治疗总有效率上差异有统计学意义(P<0.05);对照组患者平均血肿清除率为(74.8±4.3)%,再出血率为17.5%;研究组患者平均血肿清除率为(94.2±5.8)%,再出血率为2.5%,两组患者在平均血肿清除率和再出血率上差异存在统计学意义(P <0.05);研究组患者手术时间为(1.2±0.3)h,术中出血量为(26.3±3.1)mL,术后住院时间为(6.8±2.3)d;对照组患者手术时间为(3.6±1.7)h,术中出血量为(175.8±13.6)mL,术后住院时间为(13.2±5.4)d;研究组患者在手术时间、术中出血量等方面均优于对照组,差异具有统计学意义(P <0.05)。结论给予高血压脑出血患者神经内镜微创手术治疗具有显著效果,此种治疗方法便于操作,能够改善患者预后。更多还原

【Abstract】 Objective To compare and analyze the clinical efficacy of neuroendoscopic minimally invasive surgery and minimally invasive hematoma puncture and drainage in the treatment of hypertensive intracerebral hemorrhage. Methods 80 patients with hypertensive intracerebral hemorrhage admitted to our hospital from August 2017 to January 2019 were randomly divided into control group and research group. The patients in control group were treated with minimally invasive hematoma puncture and drainage, and the patients in study group were treated with neuroendoscopic minimally invasive surgery. The treatment effect between two groups was compared. Results After giving different treatment measures to two groups of patients, the total effective rate of the study group was 92.5%, and that of the control group was 75.0%. There was significant difference in the total effective rate between the two groups(P < 0.05); the average hematoma clearance rate of the control group was(74.8±4.3)%, and the rebleeding rate was 17.5%; and the average hematoma clearance rate of the study group was(94.2±5.8)%, and the rebleeding rate was 2.5%. There were significant differences in average hematoma clearance rate and rebleeding rate between the two groups(P < 0.05). The operation time of the study group was(1.2±0.3) h, the intraoperative bleeding volume was(26.3±3.1) mL, and the hospitalization time was(6.8±2.3) d. The operation time of the control group was(3.6±1.7)h, the intraoperative bleeding volume was(175.8±13.6) mL, and the hospitalization time was(13.2±5.4) d. The patients in the study group were superior to the control group in terms of operation time and intraoperative blood loss, and the difference was statistically significant(P < 0.05).Conclusion Neuroendoscopic minimally invasive surgery for hypertensive intracerebral hemorrhage has significant effect. This method is easy to operate and can improve the prognosis of patients.更多还原