山西医科大学学报2017，Vol.48Issue(3)：283-286,4.DOI:10.13753/j.issn.1007-6611.2017.03.019
神经内窥镜与穿刺引流术治疗基底节区自发性高血压脑出血的临床疗效对比
Comparison of clinical efficacy of endoscopic surgery versus puncture drainage for patients with spontaneous intracerebral hemorrhage in basal ganglia
摘要
Abstract
Objective To compare the clinical efficacy of endoscopic surgery and puncture drainage for spontaneous intracerebral hemorrhage in basal ganglia.Methods A total of 40 patients(28 male and 12 female) with hypertensive intracerebral hemorrhage in basal ganglia were enrolled in this study.Patients underwent endoscopic minimally invasive surgery to remove the hematoma in endoscopy group(n =20),and patients were treated with catheter puncture drainage in puncture group (n =20).Glasgow outcome scale (GOS),modified Rankin scale (mRS),Barthel index (BI),survival rate,evacuation rate,Glasgow coma scale (GCS),average hospitalized day and complications(such as rebleeding and epilepsy) were compared.Results In terms of short-term clinical efficacy,the evacuation rate at day 1 after operative in endoscopy group was significantly higher than in puncture group[(83.2 ±21.8)％vs (44.5 ± 17.6)％,P ＜ 0.05].After thrombolytic treatment with urokinase,the evacuation rate was not significantly different at day 3 after operation between endoscopy group and puncture group [(91.3 ± 16.4) ％ vs (89.7 ± 12.7) ％,P ＞ 0.05].One case in endoscopy group suffered from rebleeding after operation,while 3 cases in puncture group,and there was no significant difference [5.0％ vs 15.0％,P ＞ 0.05].In addition,there was no significant difference in GCS,average hospitalized day and incidence of epilepsy between the two groups(P ＞ 0.05).The survival rate,GOS,mRS,and BI showed no statistically significant difference between the two groups (P ＞ 0.05).Conclusion The endoscopic surgery for hypertensive intracerebral hemorrhage can avoid the parenchymal and intracranial vascular damage.The endoscopic surgery has similar clinical efficacy compared with the catheter puncture drainage,but no obvious advantages.关键词
神经内窥镜/穿刺引流术/高血压脑出血Key words
endoscopic surgery/puncture drainage/hypertensive cerebral hemorrhage分类
医药卫生引用本文复制引用
张军,吕建光,廖启伟,冯达云,李玉骞,李少鹏..神经内窥镜与穿刺引流术治疗基底节区自发性高血压脑出血的临床疗效对比[J].山西医科大学学报,2017,48(3):283-286,4.基金项目
国家自然科学基金青年项目(81500909) （81500909）
