显微镜联合内镜治疗高血压脑出血的效果

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Abstract Objective To observe the effect of microscope combined with endoscopy in the treatment of hypertensive cerebral hemorrhage. Methods A total of 124 patients with hypertensive cerebral hemorrhage admitted to Department of Neurosurgery in Beijing Yanhua Hospital from January 2019 to December 2021 were selected. They were divided into observation group and control group by random number table method, with 62 cases in each group. The observation group was treated with small bone window craniotomy microscope combined with endoscopic hematoma removal, the control group was treated with small bone window craniotomy and hematoma removal under microscope. The hematoma volume, hematoma clearance rate, rebleeding rate, operation time, hospital stay, Glasgow coma scale (GCS), and activity of daily living (ADL) scores were compared between the two groups. Results The hematoma clearance rate of the observation group was higher than that of the control group, the rebleeding rate of the observation group was lower than that of the control group, and the operation time and hospital stay of the observation group were shorter than those of the control group, the differences were statistically significant (P ＜ 0.05). The GCS scores of the two groups after operation were higher than those before operation, and that of the observation group was higher than that of the control group, the differences were statistically significant (P ＜ 0.05). ADL score of the observation group was higher than that of the control group six months after operation, the difference was statistically significant (P ＜ 0.05). Conclusion Microscope combined with endoscopy in the treatment of hypertensive cerebral hemorrhage has more complete hematoma removal, lower rebleeding rate, shorter operation time and hospital stay. It can be used as a common means for clinical treatment of hypertensive cerebral hemorrhage.

Key words： Hypertensive cerebral hemorrhage Small bone window Craniotomy Microscope Neuroendoscopy

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	CHENG Yang YE Xinxin MA Meng WU Kangjia ZHANG Changhao

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CHENG Yang YE Xinxin MA Meng WU Kangjia ZHANG Changhao. Effect of microscope combined with endoscopy in the treatment of hypertensive cerebral hemorrhage[J]. 中国医药导报, 2022, 19(20): 79-82.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I20/79

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