临床误诊误治2025，Vol.38Issue(6)：68-72,5.DOI:10.3969/j.issn.1002-3429.2025.06.013
组织扩张器辅助神经内镜微创手术治疗基底节区高血压脑出血对神经认知功能及预后的影响
Effects of Neuroendoscopic Minimally Invasive Surgery Assisted with Tissue Expander on Neurocognitive Function and Prognosis of Patients with Hy-pertensive Intracerebral Hemorrhage of Basal Ganglia
摘要
Abstract
Objective To explore the effects of neuroendoscopic minimally invasive surgery assisted with tissue ex-pander on neurocognitive function and prognosis of patients with hypertensive intracerebral hemorrhage(HICH)of basal gan-glia.Methods According to random number table method,82 patients with HICH of basal ganglia admitted between Septem-ber 2020 and June 2023 were divided into observation group(n=41)and control group(n=41).The control group was treated with traditional craniotomy evacuation of hematoma,while the observation group was treated with neuroendoscopic mini-mally invasive surgery assisted with tissue expander.The perioperative indexes,evacuation of hematoma,scores of neurologi-cal function and cognitive function at 3 months after surgery,incidence of complications,grading of Glasgow outcome scale(GOS)score and good prognosis rate at 6 months after surgery were compared between the two groups.Results Compared with control group,incision length was shorter in observation group,intraoperative blood loss and bone window area were lower or smaller,and the duration of operation and length of hospitalization were shorter(P＜0.05).After surgery,residual hema-toma volume in observation group was less than that in control group,and hematoma clearance rate was higher than that in con-trol group(P＜0.01).At 3 months after surgery,score of National Institutes of Health Stroke Scale in observation group was lower than that in control group,and scores of the Lovington Cognitive Function Assessment and Activities of Daily Living Scale were higher than those in control group(P＜0.05,P＜0.01).The total incidence of postoperative complications in ob-servation group was lower than that in control group[4.88%(2/41)vs.19.51%(8/41),P＜0.05].After 6 months of postoperative follow-up,there were significant differences in grading of GOS scores between the two groups(P＜0.01).The good prognosis rate in observation group was higher than that in control group[85.36%(35/41)vs.65.85%(27/41),P＜0.05].Conclusion Compared with traditional craniotomy evacuation of hematoma,neuroendoscopic surgery assisted with tissue expander has better neurocognitive function and prognosis in patients with HICH of basal ganglia.关键词
颅内出血,高血压性/神经内镜手术/组织扩张器/格拉斯哥预后评分/洛文斯顿认知功能评定/手术后并发症Key words
Intracerebral hemorrhage,hypertensive/Neuroendoscopic surgery/Tissue expander/Glasgow outcome scale/Loewenstein occupational therapy cognitive assessment/Postoperative complication分类
临床医学引用本文复制引用
王宏涛,丁玲,孙青龙,梁绍栋..组织扩张器辅助神经内镜微创手术治疗基底节区高血压脑出血对神经认知功能及预后的影响[J].临床误诊误治,2025,38(6):68-72,5.基金项目
黑龙江省省属高等学校基本科研业务费科研项目(2020-KYYWF-0758) （2020-KYYWF-0758）
