陕西医学杂志2018，Vol.47Issue(2)：180-182,3.DOI:10.3969/j.issn.1000-7377.2018.02.014
开颅手术与神经内镜治疗幕上高血压脑出血临床疗效对比研究
Comparison of craniotomy and endoscopic surgery for patients with spontaneous supratentorial intracerebral hemorrhage
摘要
Abstract
Objective:To compare the clinical effects of craniotomy and endoscopic surgery for treating sponta-neous supratentorial intracerebral hemorrhage.Methods:62 cases of patients with spontaneous supratentorial intrac-erebral hemorrhage were randomly divided into two groups.Patients in the craniotomy group(n=34)were treated with craniotomy to remove the hematoma,while patients in the endoscopic group(n=42)were treated with endo-scopic surgery.The clinical effects of two operation were compared,and the clinical application value was analyzed. Results:1 day after operation,hematoma evacuation rate in the craniotomy group was 90.3% ± 6.2 %,and it was 87.4% ± 8.2% in the endoscopic group,the difference was not statistically significant(P>0.05).The mean opera-tion time and intraoperative blood loss in the craniotomy group were(212.6 ± 69.5)min and(280.4 ± 103.8)ml,re-spectively.While these were(79.1 ± 15.7)min and(85.9 ± 14.6)ml in the endoscopic group.For both,the differ-ences were statistically significant(P<0.01).In addition,hospitalization length and total expenditure in the craniot-omy group were much more than those in the endoscopic group(P<0.05).Furthermore,mortality,GOS scores and complications such as rebleeding rate,postoperative infection,gastrointestinal bleeding and epilepsy in the craniotomy group was superior to those in the endoscopic group,but there were no statistical difference between both groups(P>0.05).Conclusion:Compared with craniotomy,endoscopic surgery is lesser trauma,lower cost,rapid,more efficient, low complication and worthy of clinical popularization,but the operation can not improve the prognosis of patients.关键词
高血压/脑出血/外科学/内窥镜检查/方法Key words
Hypertension/Cerebral hemorrhage/surgery/Endoscopy/methods分类
医药卫生引用本文复制引用
杨彦平,贺中正,王涛,王安生..开颅手术与神经内镜治疗幕上高血压脑出血临床疗效对比研究[J].陕西医学杂志,2018,47(2):180-182,3.基金项目
陕西省科学技术研究发展计划项目(2014K HXX-29) （2014K HXX-29）
