【作者】 李乾锋； 段发亮； 吴京雷； 陈晓斌； 黄从刚； 罗明；

【Author】 LI Qianfeng;DUAN Faliang;WU Jinglei;CHEN Xiaobin;HUANG Conggang;LUO Ming;Department of Neurosurgery,Wuhan No.1 Hospital;

【机构】 武汉市第一医院(华中科技大学附属武汉市中西医结合医院)；

【摘要】 目的:探讨神经导航辅助神经内镜治疗高血压脑叶出血的临床价值及疗效方法:将2012年2月～2017年2月我科应用神经导航辅助神经内镜治疗高血压脑叶出血30例与常规开颅血肿清除术治疗高血压脑叶出血30例的临床资料进行回顾性分析比较。评价标准:手术时间、术中出血、计算血肿清除率。记录术后并发症情况(主要观察包括肺部感染、颅内感染、泌尿系感染)及住院天数及术后6个月日常生活能力(ADL)。结果:神经内镜组在手术时间、术中出血量及血肿清除率均优于显微镜组,差异有统计学意义(P<0.01);神经内镜组发生并发症与显微镜组发生并发症,两组比较无统计学差异性(P>0.05);神经内镜组平均住院日少于显微镜组,两组比较有统计学差异(P<0.01);神经内镜组的死亡率3%低于显微镜组10%,且在预后差异比较上有统计学意义(P<0.05)。结论:神经导航辅助神经内镜是治疗高血压脑出血的一种安全有效的手术方法 。更多还原

【Abstract】 Objectuve To explore the clinical value and effect of neuronavigation-assisted neuroendoscopy for hypertensive Lobar Cerebral Hemorrhages Methods Two methods of surgery Were retrospectively analyzed:the endoscopy group(30 cases)and craniotomy group(30 cases).Surgical operation time,the intraoperative blood loss,the hematoma clearance rate,the postoperative complications(pulmonary infection,intracranial infection,urinary tract infection),hospitalization days and postoperative ability of daily life(ADL)in 6 months were observed.Results The Surgical operation time,intraoperative blood loss and the hematoma clearance rate of the endoscopy group was significantly superior to that of craniotomy group(P <0.01).The postoperative complications have no statistical difference(P> 0.05).The hospitalization days of the endoscopy group were less than that of craniotomy group.the On the basis of ADL grading method,the prognosis of the endoscopy group was better than that of the craniotomy group.(P<0.05) Conclusion The neuronavigation-assisted neuroendoscopy for hypertensive Lobar Cerebral Hemorrhages was a safe and effective surgical method.更多还原