透明导管鞘辅助神经内镜颅内血肿清除术疗效分析Efficacy analysis of endoscopic surgery in intracranial hematoma with transparent sheaths
纠智松;孔文龙;尹夕龙;仪立志;石小峰;
摘要(Abstract):
目的探讨采用透明导管鞘辅助神经内镜治疗高血压脑出血的临床疗效和安全性。方法收治94例幕上脑出血患者,分别行透明导管鞘辅助神经内镜下颅内血肿清除与开颅血肿清除术,比较2组切口长度、骨窗大小、手术时间、术中出血量、术后血肿清除率、术后6个月GOS等临床资料,根据其治疗第6个月GOS评分作为预后指标。采用SPSS 13.0软件进行分析。结果神经内镜组在手术时间、出血量、切口长度、骨窗大小等方面均有明显优势,差异具有统计学意义(P<0.05);血肿清除率、预后无明显统计学差异,但在预后方面内镜组有明显优势。结论采用透明导管鞘辅助神经内镜治疗高血压脑出血,临床疗效满意,创伤小,恢复好,能显著提高患者术后神经功能恢复。
关键词(KeyWords): 高血压脑出血;透明导管鞘;神经内镜;血肿;临床疗效
基金项目(Foundation): 深圳市龙岗区科技计划医疗卫生项目(编号:201406073001005)
作者(Authors): 纠智松;孔文龙;尹夕龙;仪立志;石小峰;
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