[1]钟 琪 何 林 刘 平 郑燎原.神经内镜手术治疗高血压性脑出血的疗效分析[J].中国临床神经外科杂志,2020,(02):91-93.[doi:10.13798/j.issn.1009-153X.2020.02.010]
 ZHONG Qi,HE Lin,LIU Ping,et al.Effect of neuroendoscopic surgery on hypertensive cerebral hemorrhage[J].,2020,(02):91-93.[doi:10.13798/j.issn.1009-153X.2020.02.010]
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神经内镜手术治疗高血压性脑出血的疗效分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2020年02期
页码:
91-93
栏目:
论著
出版日期:
2020-02-25

文章信息/Info

Title:
Effect of neuroendoscopic surgery on hypertensive cerebral hemorrhage
文章编号:
1009-153X(2020)02-0091-03
作者:
钟 琪 何 林 刘 平 郑燎原
621000 四川,绵阳市中心医院神经外科(钟 琪、刘 平、郑燎原),康复科(何 林)
Author(s):
ZHONG Qi1 HE Lin2 LIU Ping1 ZHENG LIAO-yuan1.
1.Department of Neurosurgery, Mianyang Municipal Central Hospital, Mianyang 621000, China; 2.Department of Rehabilitation, Mianyang Municipal Central Hospital, Mianyang 621000, China
关键词:
高血压性脑出血神经内镜手术开颅血肿清除术疗效
Keywords:
Hypertensive cerebral hemorrhage Neuroendoscopy Minimally invasive surgery Curative effects
分类号:
R 743.34; R 651.1+2
DOI:
10.13798/j.issn.1009-153X.2020.02.010
文献标志码:
A
摘要:
目的 探讨神经内镜手术治疗高血压性脑出血的疗效。方法 回顾性分析2016年1月至2017年1月收治的100例高血压性脑出血的临床资料,50例采用开颅血肿清除术(对照组),50例采用神经内镜手术(观察组)。结果 与对照组相比,观察组手术时间明显缩短(P<0.05),术中出血量明显减少(P<0.05),血肿清除率明显提高(P<0.05),术后血清TNF-α、IL-6、PCT明显降低(P<0.05)。观察组术后3个月预后良好率(74.00%,37/50)明显高于对照组(40.00%,20/50;P<0.05)。结论 与开颅血肿清除相比,神经内镜手术治疗高血压性脑出血的疗效更好。
Abstract:
Objective To investigate the effect of neuroendoscopic surgery on hypertensive cerebral hemorrhage. Methods The clinical data of 100 patients with hypertensive cerebral hemorrhage treated from January 2016 to January 2017 were retrospectively analyzed. Of 100 patients, 50 patients were treated with craniotomy (control group) and 50 were treated with neuroendoscopic surgery(observation group). The curative effects and the postoperative serum levels of tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6) and procalcitonin (PCT) were compared between both groups. Results Compared with the control group, the operation time significantly decreased (P<0.05), the intraoperative blood loss significantly reduced (P<0.05), and the rate of hematoma clearance significantly increased (P<0.05) in the observation group. The serum levels of TNF-, IL-6 and PCT in the observed group after the operation were significantly lower than those in the control group (P<0.05). The rate of good prognosis (74.00%, 37/50) in the observation group at 3 months after the operation was significantly higher than that (40.00%, 20/50) in the control group (P<0.05). Conclusion Compared with the craniotomy, neuroendoscopic surgery is more effective in treating hypertensive cerebral hemorrhage.

参考文献/References:

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备注/Memo

备注/Memo:
(2019-06-26 收稿,2020-01-09 修回)
更新日期/Last Update: 2020-02-25