神经内镜与立体定向手术治疗中少量高血压脑出血的应用价值体会

张云峰

[关键词] 神经内镜;立体定向手术;中少量高血压脑出血;应用价值

[中图分类号] R743.34          [文献标识码] B          [文章编号] 1673-9701（2021）25-0055-03

Experience of application value of neuroendoscopy and stereotactic surgery in treating moderate and small amount of hypertensive intracerebral hemorrhage

ZHANG Yunfeng

Department of Neurosurgery， Anqing Hospital of the PLA Navy， Anqing   246003， China

[Abstract] Objective To treat moderate and small amount of hypertensive intracerebral hemorrhage by neuroendoscopy and stereotactic surgery， and to compare and analyze the application value of neuroendoscopy and stereotactic surgery. Methods A total of 100 patients with moderate and small amount of hypertensive intracerebral hemorrhage were selected from December 2016 to December 2020， and were treated differently： the study group was treated with neuroendoscopy combined with small bone window surgery， while the control group was treated with stereotactic surgery. The SPSS 21.0 software was used to systematically analyze and compare the length of stay， treatment cost and quality of life scores between the two groups. Results According to analysis with the SPSS 21.0 software， the length of stay in the study group （15.22±2.33）d and treatment cost （1.32±0.33）ten thousands yuan were lower than those in the control group， and the quality of life score of the study group （89.22±2.33）points was higher than that of the control group （70.66±3.21）points， with statistically significant differences （P<0.05）. Conclusion The application value of neuroendoscopic surgery in the treatment of moderate and small amount of hypertensive intracerebral hemorrhage is significant， which can improve the quality of life of patients， shorten the length of hospital stay and reduce the treatment cost.

[Key words] Neuroendoscopy; Stereotactic surgery; Moderate and small amount of hypertensive intracerebral hemorrhage; Application value

高血壓脑出血指因情绪激动、过度脑力与体力劳动或其他因素引起血压剧烈升高，导致脑血管破裂出血，致死致残率较高。小骨窗开颅血肿清除术为治疗高血压脑出血的常用方法，其具有清除脑血肿的作用，且效果理想，副作用少，但对术者操作要求较高[1-3]。随着微创技术的发展及内镜技术的发展，神经内镜已成为治疗脑出血的新方法，通过神经内镜辅助技术可直观地观察止血并清除血肿，避免盲穿造成误伤和无法直接止血等缺点。高血压脑出血是一种十分常见的脑血管疾病，致残率和死亡率均较高。立体定向手术、神经内镜结合小骨窗术等方式均是目前治疗高血压脑出血的主要临床应用方法。本文对中少量高血压脑出血予以神经内镜与立体定向手术治疗，对比分析神经内镜与立体定向手术治疗的应用价值。

1 资料与方法

1.1 一般资料

选择2016年12月至2020年12月中少量高血压脑出血患者，患者100例，选择时间于2016年12月—2020年12月，行不同的治疗方式：神经内镜结合小骨窗术治疗、立体定向手术治疗，对应组别：研究组、对照组。每组各50例。

研究组：50例患者中有男30例、女20例;年龄40～60岁，平均年龄（50.09±5.11）岁;基底节出血、脑叶出血、丘脑出血和脑室出血的患者例数分别为15、13、12、10例。