分析应用神经内镜下颅内血肿清除术治疗颅内血肿的临床效果
五华县安流镇中心卫生院(五华县第二民医院)
目的 旨在探讨神经内镜下颅内血肿清除术在颅内血肿治疗中的临床效果。方法 选取于2021年1月至2024年2月这一时间段内参与研究的患者样本,其构成来源则为在我院接受治疗的,头颅CT提示颅内血肿在20 mL~40 mL之间的幕上血肿患者50例。以上患者采取随机数字表法进行分组,传统组(25例,施行开颅颅内血肿清除术),研究组(25例,施行神经内镜下颅内血肿清除术),治疗结束之后对两组患者的各项临床指标进行详细比对。结果 研究组患者在手术时间与住院时间、并发症发生率、神经、生活质量评分与临床指标方面数据优于传统组(P<0.05)。结论 神经内镜下颅内血肿清除术在颅内血肿的治疗中具有明显的临床优势,能够有效缩短手术时间和住院时间,减少并发症发生率,促进神经功能恢复和提高生活质量,改善临床指标。建议在临床实践中推广应用神经内镜下颅内血肿清除术,为颅内血肿患者提供更优质的治疗选择。
Objective To explore the clinical effect of intracranial hematoma removal under neuroendoscope in the treatment of intracranial hematoma. Methods During the period from January 2021 to February 2024, the samples of patients who participated in the study were selected, and the source of the samples was 50 patients with supratentorial hematoma whose intracranial hematoma was between 20 mL~40 mL, which was indicated by head CT in our hospital. The above patients were randomly divided into two groups: the traditional group(25 cases, who underwent craniotomy to remove intracranial hematoma) and the research group(25 cases, who underwent neuroendoscopic intracranial hematoma removal). After the treatment, the clinical indexes of the two groups were compared in detail. Results The data of operation time and hospitalization time, complication rate, neurological and quality of life scores and clinical indexes of patients in the research group were better than those in the traditional group(P<0.05). Conclusion Neuroendo scopic removal of intracranial hematoma has obvious clinical advantages in the treatment of intracranial hematoma, which can effectively shorten the operation time and hospitalization time, reduce the incidence of complications, promote the recovery of neurological function, improve the quality of life and improve clinical indicators. It is suggested that neuroendoscopic intracranial hematoma removal should be popularized in clinical practice to provide better treatment options for patients with intracranial hematoma.
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共 13 条- [1]李洋.微创颅内血肿清除术治疗高血压脑出血的临床疗效探讨[J].现代消化及介入诊疗,2019,24(A01):347.
- [2]方孟秋,黄永健,何咸锰,等.超早期小骨窗微创颅内血肿清除术治疗高血压脑出血的效果[J].中外医药研究,2023,2(16):6-8.
- [3]杨雨.高原地区微创颅内血肿清除术在临床上的应用[J].中国保健营养,2020,30(15):114.
- [4]韦春梅,罗仕瑜,杨君,等.应用新型定位工具行微创颅内血肿引流术治疗高血压大量脑出血并脑疝形成1例并文献复习[J].现代诊断与治疗,2024,35(18):2817-2819.
- [5]梁新明,张保朝,付国惠.脑苷肌肽联合天麻素治疗急性脑出血患者兴奋性氨基酸和氧化代谢产物水平的影响[J].黑龙江医学,2023,47(12):1463-1465.
- [6]宋安军,伍国锋,任思颖,等.脑立体定向微创三针穿刺术清除颅内血肿及控制颅内高压的临床研究[J].中国临床神经科学,2021,29(2):179-186.
- [7]唐兴霞,邹伟健,蒲卢兰,等.亚低温联合颅内血肿微创清除术对高血压性脑出血患者神经功能影响的Meta分析[J].现代医学,2024,52(2):200-208.
- [8]魏峰,李修龙,张雷,等.早期颅内血肿微创清除术治疗轻中度基底核区高血压脑出血的临床效果分析[J].中国现代药物应用,2024,18(2):46-49.
- [9]何咏超,于志虎,张晓峰.神经内镜下颅内血肿清除术与立体定向微创穿刺术治疗高血压性脑出血的疗效对比观察[J].临床外科杂志,2025,33(6):592-595.
- [10]陈秋香.颅内血肿微创清除术联合亚低温治疗重症高血压脑出血的效果[J].心血管病防治知识(学术版),2022,12(23):51-54.
- [11]杨丽珍,刘娟,侯凯文.急性出血性脑卒中患者血清S100B、PDGF-D、h-FABP及NSE水平与颅内血肿扩大的关系[J].国际检验医学杂志,2022,43(15):1885-1889.
- [12]郭延莉,左娜,田永娟.亚低温治疗联合小骨窗颅内血肿清除术对高血压脑出血重症患者神经细胞因子及血管活性因子的影响[J].临床医学研究与实践,2024,9(24):82-85.
- [13]薛柏茁.观察显微镜下颅内血肿清除术治疗高血压脑出血病的疗效[J].当代医学,2021,27(25):95-97.
| 文章编号 | 2026-03-022(期号内编号) |
|---|---|
| 栏目 | 心脑血管疾病与治疗 |
| 作者 | 胡亦辉 |
| 作者单位 | 五华县安流镇中心卫生院(五华县第二民医院) |
| 中图分类号 | R651.12 |
| 卷期页码 | 2026, 2(03): 85-88 |
| 发布时间 | 2026-05-15 |
| 出版时间 | 2026-05-15 |
| 引用信息 | [1]胡亦辉.分析应用神经内镜下颅内血肿清除术治疗颅内血肿的临床效果[J].疾病预防与控制,2026,2(03):85-88. |
| 全文地址 | 在知网查看该文(kns.cnki.net) |
| 数据抓取时间 | 2026-09-22T12:19:00 |