神经内镜介导颅内血肿清除术对外伤性亚急性脑内血肿患者血肿清除率及预后的影响



【摘要】 目的:探究外伤性亚急性脑内血肿患者应用神经内镜介导颅内血肿清除术的临床效果。方法:选取2020年12月—2021年12月松滋市人民医院收治的70例外伤性亚急性脑内血肿患者进行回顾性分析。根据手术方式将患者分为两组,对照组(n=35)采用传统开颅血肿清除术,观察组(n=35)采用神经内镜介导颅内血肿清除术。观察两组患者的治疗效果、格拉斯哥昏迷评分(GCS)、并发症发生率及血肿清除情况。结果:观察组血肿清除≥90%的比例(77.14%)明显高于对照组(51.43%),优良率(85.71%)明显高于对照组(62.86%),并发症发生率(5.71%)明显低于对照组(22.86%),差异均有统计学意义(Plt;0.05)。术后12 h,观察组GCS明显高于对照组(Plt;0.05)。结论:对于外伤性亚急性脑内血肿患者,神经内镜介导颅内血肿清除术的疗效显著,能够改善血肿清除情况,降低并发症,改善患者预后。
【关键词】 神经内镜 颅内血肿清除术 脑内血肿
Effect of Neuroendoscope-mediated Evacuation of Intracranial Hematoma on Hematoma Clearance Rate and Prognosis in Patients with Traumatic Subacute Intracerebral Hematoma/FAN Yiguo, ZHONG Jun. //Medical Innovation of China, 2023, 20(25): 0-054
[Abstract] Objective: To explore the clinical effect of neuroendoscope-mediated evacuation of intracranial hematoma in patients with traumatic subacute intracerebral hematoma. Method: A total of 70 patients with traumatic subacute intracerebral hematoma admitted to Songzi People's Hospital from December 2020 to December 2021 were analyzed retrospectively. Patients were divided into two groups according to surgical method. The control group (n=35) received traditional evacuation of intracranial hematoma ......
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