Clinical study of neuroendoscopic frontal keyhole surgery and microsurgery for basal ganglia hemorrhage

SHI Mengle; MA Qiang; YANG Changzhi; LU Yang; ZHANG Yuchi; LIU Nan; ZHU Yufu

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Clinical study of neuroendoscopic frontal keyhole surgery and microsurgery for basal ganglia hemorrhage

更新时间：2022-06-24

- Clinical study of neuroendoscopic frontal keyhole surgery and microsurgery for basal ganglia hemorrhage
- null Issue 4, Pages: 300(2020)
- 作者机构：
  
  1. 徐州医科大学研究生院,江苏,徐州,221000
  2. 徐州医科大学附属医院神经外科,江苏,徐州,221000
- 作者简介：
- 基金信息：
- DOI：
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SHI Mengle, MA Qiang, YANG Changzhi, et al. Clinical study of neuroendoscopic frontal keyhole surgery and microsurgery for basal ganglia hemorrhage. [J]. null (4):300(2020)
DOI：

SHI Mengle, MA Qiang, YANG Changzhi, et al. Clinical study of neuroendoscopic frontal keyhole surgery and microsurgery for basal ganglia hemorrhage. [J]. null (4):300(2020) DOI：

摘要

目的探讨神经内镜额部锁孔手术与显微手术治疗基底节区出血的治疗效果。方法回顾性分析徐州医科大学附属医院神经外科2017年8月至2019年6月收治的34例经手术治疗基底节区出血患者的临床资料。根据手术方式分为内镜额部锁孔手术组（观察组）14例和显微手术组（对照组）20例，比较2组患者术前、术中和术后的病情变化及手术并发症发生情况，总结两种手术方式的临床应用效果。结果观察组平均血肿清除率、手术时间均少于对照组，差异均有统计学意义（P<0.05）;2组患者术后并发症发生率比较，差异无统计学意义（P＞0.05）；观察组术后不同时间GCS评分及术后3个月ADL评分均优于对照组，差异有统计学意义（P<0.05）。结论与显微手术相比，神经内镜额部锁孔手术具有手术时间短、血肿清除率高、术后并发症少、患者预后较好等优点。

Abstract

关键词

基底区高血压脑出血神经内镜显微手术血肿清除术小骨窗开颅

Keywords

basal ganglia regionhypertensive cerebral hemorrhageneuroendoscopymicrosurgeryhematoma removalsmall bone window craniotomy

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