神经内镜在丘脑出血破入脑室侧脑室外引流术中的应用研究
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摘要
目的:探讨神经内镜在丘脑出血破入脑室侧脑室外引流术中的应用效果。方法:选取2014年10月-2018年1月在笔者所在医院神经外科就诊的36例丘脑出血破入脑室患者作为本次研究对象,将其随机分为对照组和观察组,每组18例。对照组采取单纯侧脑室外引流术,观察组在神经内镜下进行侧脑室外引流术,比较两组患者术后恢复情况及并发症发生情况。结果:术后随访1年,观察组的预后良好率为83.3%,明显优于对照组的33.3%,差异有统计学意义(P<0.05)。观察组并发症发生率为27.8%,明显低于对照组的50.0%,差异有统计学意义(P<0.05)。结论:应用神经内镜对丘脑出血破入脑室行侧脑室外引流手术,有助于提升患者术后恢复水平,降低并发症发生率,进而提高患者术后生存质量,可进行临床推广。
Objective:To investigate the effect of neuroendoscopy on the thalamic hemorrhage breaks into the ventricle lateral ventricular extraventricular drainage.Method:A total of 36 cases of patients with thalamic hemorrhage broken into the ventricle who were treated in the neurosurgical department of our hospital from October 2014 to January 2018 were selected as the research objects.They were randomly divided into control group and observation group,18 cases in each group.The control group received simple lateral ventricular extraventricular drainage,and the observation group received lateral ventricular extraventricular drainage under neuroendoscopy.The postoperative recovery and complications were compared between the two groups.Result:After one year follow-up,the good prognosis rate of the observation group was 83.3%,which was significantly better than 33.3% of the control group,the difference was statistically significant(P<0.05).The incidence of complications in the observation group was 27.8%,which was significantly lower than that in the control group 50.0%,the difference was statistically significant(P<0.05).Conclusion:The application of neuroendoscopy for lateral ventricular extraventricular drainage of thalamic hemorrhage breaks into the ventricle is helpful to improve the recovery level of patients after operation,reduce the incidence of complications,and improve the quality of life of patients after operation.It can be popularized in clinic.
Objective:To investigate the effect of neuroendoscopy on the thalamic hemorrhage breaks into the ventricle lateral ventricular extraventricular drainage.Method:A total of 36 cases of patients with thalamic hemorrhage broken into the ventricle who were treated in the neurosurgical department of our hospital from October 2014 to January 2018 were selected as the research objects.They were randomly divided into control group and observation group,18 cases in each group.The control group received simple lateral ventricular extraventricular drainage,and the observation group received lateral ventricular extraventricular drainage under neuroendoscopy.The postoperative recovery and complications were compared between the two groups.Result:After one year follow-up,the good prognosis rate of the observation group was 83.3%,which was significantly better than 33.3% of the control group,the difference was statistically significant(P<0.05).The incidence of complications in the observation group was 27.8%,which was significantly lower than that in the control group 50.0%,the difference was statistically significant(P<0.05).Conclusion:The application of neuroendoscopy for lateral ventricular extraventricular drainage of thalamic hemorrhage breaks into the ventricle is helpful to improve the recovery level of patients after operation,reduce the incidence of complications,and improve the quality of life of patients after operation.It can be popularized in clinic.
引文
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[2]覃家敏.神经内镜在丘脑出血破入脑室侧脑室外引流术中的应用研究[J].微创医学,2017,12(1):87-89.
[3]王学富,杨国瑛.神经内镜辅助超早期手术治疗丘脑出血破入脑室的疗效[J].安徽医学,2018,43(1):69-71.
[4]田正丰,芦明.丘脑血肿穿刺引流联合脑室外引流术治疗中等量丘脑出血破入脑室的疗效分析[J].浙江医学,2017,39(1):46-48.
[5]潘文.颅内压监测下行侧脑室外引流术对高血压性丘脑出血患者预后、再出血率及并发症发生率的影响[J/OL].现代医学与健康研究电子杂志,2017,1(6):32-33.
[6]吕继博,谢勇,李泰,等.神经内镜下辅助治疗丘脑出血破入脑室并脑积水的治疗体会[J/OL].临床医药文献电子杂志,2017,4(47):49,51.
[7]郭强,李斌.神经内镜微创手术与颅骨钻孔脑室外引流治疗脑室出血的疗效比较[J].中国药物与临床,2017,17(8):1211-1214.
[8]袁淼,翟安林,王帆,等.不同手术方式治疗丘脑出血破入脑室患者手术前后炎症因子表达及预后观察[J].中国煤炭工业医学杂志,2017,21(11):11-14.
[9]汪炎,张云峰.丘脑出血破入脑室术后脑积水21例的防控策略[J].影像研究与医学应用,2017,1(4):196-197.
[10]阮航,段发亮,罗明,等.导航辅助内镜下手术治疗高血压性丘脑出血破入脑室[J].中国临床神经外科杂志,2017,22(7):491-492.