神经内镜手术与显微手术治疗高血压性基底节区出血的疗效对比分析

目的 对比神经内镜手术与显微手术治疗高血压性基底节区出血的疗效。方法 2012年5月至2016年12月收治符合标准高血压性基底节区出血280例，根据治疗方法分为内镜手术组（140例，采用神经内镜手术清除血肿）和显微手术组（140例，采用显微手术清除血肿）。结果 内镜手术组血肿完全清除率（74.3%）明显高于显微手术组（60.0%，P<0.05）。内镜手术组再出血发生率（1.4%，2/140）明显低于显微手术组（6.4%，9/140；P<0.05）。出院时，内镜手术组GOS评分明显优于显微手术组（P<0.05）。术后1年，内镜手术组mRS评分明显优于显微手术组（P<0.05）。结论 相较于显微手术，神经内镜手术治疗高血压性基底节区出血的血肿清除效果较好，再发出血较少，预后较好。

Comparison of clinical effects on intracerebral hemorrhage in basal ganglia: endoscopic neurosurgery vs. microneurosurgery

Objective To compare the clinical effects of endoscopic neurosurgery on intracerebral hemorrhage (ICH) in basal ganglia with that of microneurosurgery. Methods The clinical data of 280 patients with ICH in basal ganglia, of whom, 140 patients received endoscopic neurosurgery (observed group) and 140 received microneurosurgery (control group) between May 2012 and December 2016, were analyzed retrospectively. The rates of hematoma evacuation and rebleeding after the operation were compared between both the groups. The curative effects on discharge from hospital and 1 year after the treatment were assessed by GOS score and modified Rankin scale (mRS) score, respectively. Results The rate of hematoma evacuation was significantly higher and the rate of postoperative rebleeding was significantly lower in the observed group than those in the control group (P<0.0). The GOS score and mRS score were significantly better in the observed group than those in the control group (P<0.05). Conclusion The endoscopic neurosurgery is helpful to increasing the rate of hematoma evacuation, decreasing the rate of postoperative rebleeding and improving the prognosis in the patients with ICH in basal ganglia.