精准定位下神经内镜治疗脑室出血的疗效及安全性分析

doi:10.3969/j.issn.1005-6483.2021.10.010

摘要/Abstract

摘要： 目的探讨采用精准定位下神经内镜治疗脑室出血的疗效以及安全性。
方法我院2018年4月~2019年12月收治的脑室出血病人82例，根据治疗方法分为内镜组和引流组，内镜组41例，采用精准定位下神经内镜微创术，引流组41例，采用传统脑室外穿刺引流术，比较两组引流管留置时间、住院时间、48小时后血肿清除率、并发症、死亡情况、炎症因子水平。
结果与引流组对比，内镜组术后48小时后血肿清除率更高[(91.24±4.94)%vs(81.21±4.73)%]，引流管留置时间[(3.54±0.93）天vs（4.27±1.06）天]、住院时间[(10.34±1.97)天vs(15.49±2.28)天]更少，术后并发症更少（4.88%vs 19.51%），两组比较差异有统计学意义(P＜0.05)。
结论精准定位下神经内镜术治疗脑室出血疗效好，安全性好。

关键词: 神经内镜微创手术, 脑室出血, 疗效, 安全性

Abstract: Objective To investigate the clinical efficacy and safety of precise positioning neuroendoscopy in the treatment of intraventricular hemorrhage.
Method 82 patients with intraventricular hemorrhage admitted to the neurosurgery department of Hanzhong Central Hospital and the neurosurgery department of Xiangyang first people's Hospital from April 2018 to December 2019 were selected and divided into endoscopic group and drainage group.The endoscopic group was treated with precise positioning neuroendoscopic minimally invasive surgery(n=41 cases),while the drainage group was treated with traditional extraventricular puncture and drainage(n=41 cases).The indwelling time of drainage tube,hospital stay,hematoma clearance rate after 48 hours,complications,death and inflammatory factor levels were compared between the two groups.
Results Compared with the drainage group,the clearance rate of hematoma 48 hours after operation in the endoscopic group was higher[(91.24±4.94)% vs (81.21±4.73)%](P<0.05).The indwelling time[(3.54±0.93）d vs（4.27±1.06）d] and hospitalization time[(10.34±1.97)d vs (15.49±2.28)d] of drainage tube were less,and the postoperative complications（4.88%vs 19.51%） were less(P<0.05).
Conclusion Accurate positioning neuroendoscopy is effective and safe in the treatment of ventricular hypertensive hemorrhage.

Key words: neuroendoscopic minimally invasive surgery, ventricular hemorrhage, curative effect, security

黄伟李荣伟郭凤傅楚华冯波孙立鹏柳亚岐徐东宝. 精准定位下神经内镜治疗脑室出血的疗效及安全性分析[J]. 临床外科杂志, 2021, 29(10): 930-932.

HUANG Wei, LI Rongwei, GUO Feng, et al.. Efficacy and safety of precise localization neuroendoscopy in the treatment of intraventricular hemorrhage[J]. JOURNAL OF CLINICAL SURGERY, 2021, 29(10): 930-932.

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