中国现代手术学杂志2024，Vol.28Issue(2)：115-119,5.DOI:10.16260/j.cnki.1009-2188.2024.02.006
机器人引导下穿刺引流10～30 mL脑内小血肿的临床研究
Clinical study of puncture and drainage of 10～30 mL small intracerebral hematoma with robot-assistance
丘琪政 1颜华 2张光宇 2凌文峰 2程凤燕 2陈兵3
作者信息
- 1. 广东医科大学梅州临床医学院,广东梅州 514021
- 2. 梅州市人民医院,广东梅州 514031
- 3. 广东医科大学附属医院神经外科,广东湛江 524001
- 折叠
摘要
Abstract
Objective To explore the clinical effect of robot-assisted puncture of 10～30 mL small in-tracerebral hematoma.Methods A retrospective case-control study was conducted in 83 patients with 10～30 mL small hypertensive intracerebral hemorrhage who received treatment at Meizhou People's Hospital from January 2019 to December 2022.They were divided into a robot-assisted puncture group(the observation group)of 39 cases and a conservative treatment group(the control group)of 44 cases based on different treat-ment methods.It was compared of the clinical outcomes,incidence of complications,length of hospital stay and hospitalization costs,basic activity of daily living scale(BADL)and National Institute of Health stroke scale(NIHSS)between two groups at discharge and 3 months after discharge.Results(l)There was no statistically significant difference in NIHSS and BADL scores between the two groups at admission(P＞0.05).But at dis-charge and 3-month follow-up,the observation group had lower NIHSS scores(P＜0.05)and higher BADL scores(P＜0.05).The average hospitalization time of the observation group and the control group was(12.8±3.3)days and(13.8±4.0)days respectively,with no statistically significant difference(P=0.252).The hospitalization expenses of the observation group and the control group was(38 496.23±6 369.06)yuan and(19 258.36±4 068.68)yuan respectively,with the observation group being higher than the control group(P＜0.05).The incidence of complications in the observation group and the control group was 2.6％(1/39)and 6.8％(3/44)respectively.There was 1 case of bleeding in the puncture route area in the observation group,and 3 cases of pulmonary infection in the control group.There was no statistically significant difference between the two groups(P＞0.05).Conclusions Robot-assisted puncture and drainage of 10～30 mL small intracerebral hematoma has better therapeutic effects,fewer postoperative complications with convenient and simple operation,which can promote postoperative functional recovery of patients,and effectively improve their quality of life.关键词
高血压脑出血/脑内小血肿/机器人辅助/血肿腔穿刺Key words
hypertensive intracerebral hemorrhage/small hematoma in the brain/robot assisted/hematoma cavity puncture引用本文复制引用
丘琪政,颜华,张光宇,凌文峰,程凤燕,陈兵..机器人引导下穿刺引流10～30 mL脑内小血肿的临床研究[J].中国现代手术学杂志,2024,28(2):115-119,5.
