本文已被：浏览 846次 下载 392次
Received:August 15, 2018 Published Online:March 22, 2019
Received:August 15, 2018 Published Online:March 22, 2019
中文摘要: 目的 探讨经外侧裂入路血肿清除术与神经内镜下血肿清除术治疗高血压脑出血的疗效。方法 选取2016年3月至2017年3月收治的高血压脑出血患者118例,根据不同治疗方式,随机分为两组,各59例。对照组患者应用经外侧裂入路血肿清除术进行治疗,研究组患者应用神经内镜下血肿清除术进行治疗。对比两组患者血肿清除率、格拉斯哥预后分级评分(GOS)以及治疗后日常生活能力。结果 研究组患者血肿清除率高于对照组［(95.2±18.4)% vs (84.3±11.6)%,P<0.01］;研究组患者GOS 评分与对照组比较差异无统计学意义(Z=0.844，P>0.05)。研究组术后ADL评分高于对照组（82.10±8.45 vs 72.54±7.65,P<0.01)。结论 神经内镜下血肿清除术治疗高血压脑出血,可以提高治疗有效率及脑血肿清除率,治疗效果理想。
中文关键词: 经外侧裂入路血肿清除术 神经内镜 高血压脑出血 日常生活能力；血肿清除率 格拉斯哥预后评分
Abstract:Objective To investigate the clinical effect of hematoma evacuation via lateral fissure and neuo-endoscopy in the treatment of hypertensive intracerebral hemorrhage. Methods A total of 118 patients with hypertensive intracerebral hemorrhage who received treatment from March 2016 to March 2017 were selected and divided into control group and study group randomly.The control group patients received hematoma evacuation via lateral fissure, and the study group patients received hematoma evacuation via neuo-endoscopy.The hematoma clearance rate, Glasgow Outcome Scale (GOS) and，Activity of Daily Living Scale were compared between two groups. Results The hematoma clearance rate in study group were higher than that in control group [(95.2±18.4)% vs (84.3±11.6)%, P<0.05].There was no significant difference in GOS between two groups (Z=0.844, P=0.399).The Activity of Daily Living Scale in study group was higher than that in control group（82.10±8.45 vs 72.54±7.65, P<0.01). Conclusion Using neuo-endoscopy in the treatment of hypertensive intracerebral hemorrhage could improve the treatment efficiency and hematoma clearance rate.
keywords: Hematoma evacuation Lateral fissure Hypertensive intracerebral hemorrhage Activity of Daily Living Scale Hematoma clearance rate Glasgow Outcome Scale
文章编号： 中图分类号：R 743.34 文献标志码：B
基金项目:
| Author Name | Affiliation |
| LI Shou-wei*, YUAN Yong-rui | *Department of Neurosurgery, Changqing Oil Field Worker′s Hospital.Xi′an, Shaanxi 745100, China |
| 袁永睿2 | 2.庆阳市人民医院,甘肃 庆阳 745000 |
| Author Name | Affiliation |
| LI Shou-wei*, YUAN Yong-rui | *Department of Neurosurgery, Changqing Oil Field Worker′s Hospital.Xi′an, Shaanxi 745100, China |
| 袁永睿2 | 2.庆阳市人民医院,甘肃 庆阳 745000 |
引用文本：