神经内镜额部锁孔手术与显微手术治疗基底节区出血的临床疗效

目的探讨神经内镜额部锁孔手术与显微手术治疗基底节区出血的治疗效果。方法回顾性分析徐州医科大学附属医院神经外科2017年8月至2019年6月收治的34例经手术治疗基底节区出血患者的临床资料。根据手术方式分为内镜额部锁孔手术组(观察组)14例和显微手术组(对照组)20例,比较2组患者术前、术中和术后的病情变化及手术并发症发生情况,总结两种手术方式的临床应用效果。结果观察组平均血肿清除率、手术时间均少于对照组,差异均有统计学意义(P<0.05);2组患者术后并发症发生率比较,差异无统计学意义(P>0.05);观察组术后不同时间GCS评分及术后3个月ADL评分均优于对照组,差异有统计学意义(P<0.05)。结论与显微手术相比,神经内镜额部锁孔手术具有手术时间短、血肿清除率高、术后并发症少、患者预后较好等优点。

Clinical study of neuroendoscopic frontal keyhole surgery and microsurgery for basal ganglia hemorrhage

Objective To explore the therapeutic effect of neuroendoscopic frontal keyhole surgery and microsurgery in the treatment of basal ganglia hemorrhage.Methods The clinical data of patients with hemorrhage in basal ganglia treated by surgery from August 2017 to June 2019 in neurosurgery department of affiliated hospital of Xuzhou medical university were retrospectively analyzed.According to the operation approaches,they were divided into the endoscopic frontal keyhole operation group(study group,14 cases)and the microsurgery group(control group,20 cases).The preoperative,intraoperative and postoperative disease changes and the occurrence of surgical complications in the two groups were compared,and the clinical application effects of the two surgical approaches were summarized.Results The average hematoma clearance rate and operation time in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the incidence of postoperative complications between between the two groups(P>0.05).The GCS scores at different time after operation and ADL scores 3 months after operation in the study group were better than those of the control group,the differences were statistically significant(P<0.05).Conclusion Compared with microsurgery,neuroendoscopic frontal keyhole surgery has the advantages of short operation time,high hematoma clearance rate,less postoperative complications and better prognosis.