中国内镜杂志2024，Vol.30Issue(1)：1-6,6.DOI:10.12235/E20230165
经额入路神经内镜手术在慢性硬膜下血肿治疗中的应用
Application of transfrontal neuroendoscopic surgery in the treatment of chronic subdural hematoma
摘要
Abstract
Objective To evaluate the efficacy of transfrontal neuroendoscopic surgery in the treatment of chronic subdural hematoma.Methods Analysis of clinical data of 80 cases of chronic subdural hematoma.According to the surgical method,40 cases were divided into traditional external drainage of parietaltuber,40 cases were divided into transfrontal neuroendoscopic small bone window hematoma removal.The treatment efficiency,hematoma recurrence rate,operation time and intraoperative blood loss were compared between the two groups.Results Treatment efficiency of neuroendoscopic group was 95.0%,significantly higher than drainage group 75.0%,hematoma recurrence rate one month after surgery of neuroendoscopic group was 5.0%,significantly lower than that in drainage group 25.0%,operation time of neuroendoscopic group was(54.1±7.5)min,longer than that of drainage group(40.7±9.4)min,the differences were statistically significant(P<0.05).The intraoperative blood loss of neuroendoscopic group was(30.1±4.5)mL,compared with(27.1±6.4)mL in the drainage group,the difference was not statistically significant(P>0.05).Conclusion Transfrontal neuroendoscopic surgery can significantly improve the efficacy of chronic subdural hematoma,and hematoma recurrence rate is extremely low.It is worthy of clinical application.关键词
慢性硬膜下血肿/神经内镜/经额入路/钻孔引流术/手术Key words
chronic subdural hematoma/neuroendoscopy/transfrontal/borehole drainage/surgery分类
医药卫生引用本文复制引用
龚益,杨文魁,陈沛,翟冬煜..经额入路神经内镜手术在慢性硬膜下血肿治疗中的应用[J].中国内镜杂志,2024,30(1):1-6,6.基金项目
云南省卫生和计划生育委员会医学后备人才培养计划(No:H-201601) （No:H-201601）
