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目的对比研究神经内镜技术与立体定向技术应用于高血压性脑出血(HICH)的临床治疗效果。方法选取2013年6月~2015年8月,我院神经外科接受神经外科神经内镜血肿清除术治疗的30例HICH患者作为观察组,同期接受神经内科立体定向钻孔血肿抽吸术治疗的30例HICH患者作为对照组,对比分析两组的临床疗效。结果观察组的手术时间与术中失血量明显多于对照组(P<0.05);观察组的血肿清除率显著高于对照组(P<0.05);术后6个月观察组的GOS评分及预后分级均显著优于对照组(P<0.05);术后观察组的GCS评分及BI指数均显著高于对照组(P<0.05);观察组术后并发症率为13.33%,显著低于对照组的23.33%(P<0.05)。结论相比于立体定向钻孔血肿抽吸术,神经内镜下血肿清除术的近远期疗效更为显著,值得推广应用。
Objective To compare the clinical effects of neuroendoscopy and stereotactic technique on hypertensive intracerebral hemorrhage (HICH). Methods Thirty HICH patients undergoing neurosurgery neurosurgical endoscopic hematoma resection in our department from June 2013 to August 2015 were selected as the observation group and underwent neurosurgical Stereotactic aspiration 30 Cases of HICH patients as a control group, comparative analysis of the clinical efficacy of both groups. Results The operation time and intraoperative blood loss in the observation group were significantly more than those in the control group (P <0.05). The hematoma clearance rate in the observation group was significantly higher than that in the control group (P <0.05) (P <0.05). The postoperative GCS score and BI index in the observation group were significantly higher than those in the control group (P <0.05). The postoperative complication rate in the observation group was 13.33%, which was significantly lower than that in the control group 23.33% of the control group (P <0.05). Conclusion Compared with stereotactic drilling hematoma aspiration, the short-term and long-term efficacy of endoscopic hematoma resection is more significant and worthy of promotion and application.