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CT引导下冠状缝前入路神经内镜血肿清除术临床效果观察

屈浙 王东 张金峰 田军 宋春旺 檀浩鹏 李建华

河北医学2018,Vol.24Issue(5):805-808,4.
河北医学2018,Vol.24Issue(5):805-808,4.DOI:10.3969/j.issn.1006-6233.2018.05.027

CT引导下冠状缝前入路神经内镜血肿清除术临床效果观察

Clinical Effects of Neuroendoscopic Evacuation of Hematoma Via CT-guided Coronal Suture Anterior Approach

屈浙 1王东 1张金峰 1田军 1宋春旺 1檀浩鹏 1李建华1

作者信息

  • 1. 河北省石家庄市第一医院神经外科, 河北 石家庄 050000
  • 折叠

摘要

Abstract

Objective:To investigate the clinical effects of neuroendoscopic evacuation of hematoma via CT-guided coronal suture anterior approach. Methods:86 patients with hypertensive intracerebral hemorrhage (HICH) in our hospital from June 2015 to March 2017 were selected,and they were divided into two groups by random number table,43 cases in each. Control group was given routine stereotactic vacuation of hemato-ma,observation group was given neuroendoscopic evacuation of hematoma via CT-guided coronal suture ante-rior approach.The surgical indexes,surgical effects,rebleeding rate,fatality rate and the incidence of compli-cations of two groups were compared.Results:The surgical indexes of observation group were significantly bet-ter than those of control group,and the total surgical effective rate was significantly higher than control group, the rebleeding rate,fatality rate and the incidence of complications were significantly lower than control group (P<0.05). Conclusion:Neuroendoscopic evacuation of hematoma via CT-guided coronal suture anterior ap-proach can effectively shorten surgery time and recovery time of hemiplegia,protect normal brain tissues,de-crease surgical risks,reduce complications and death.

关键词

高血压性脑出血/冠状缝前入路/神经内镜/血肿清除术

Key words

Hypertensive intracerebral hemorrhage/Coronal suture anterior approach/Neuroen-doscopic/Evacuation of hematoma

引用本文复制引用

屈浙,王东,张金峰,田军,宋春旺,檀浩鹏,李建华..CT引导下冠状缝前入路神经内镜血肿清除术临床效果观察[J].河北医学,2018,24(5):805-808,4.

基金项目

2017年石家庄市科学技术研究与发展指导计划,(编号:171461563) (编号:171461563)

河北医学

OACSTPCD

1006-6233

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