多模態(tài)影像輔助手術(shù)與傳統(tǒng)開顱術(shù)在腦深部血腫的應(yīng)用療效和預(yù)后比較

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【中圖分類號(hào)】 R651 【文獻(xiàn)標(biāo)志碼】 B 【文章編號(hào)】 1672-7770（2025）03-0325-05

Abstract：ObjectiveTo compare the efficacy and prognosis between multimodal surgery and traditional craniotomy in deep cerebral hematoma.MethodsAtotal of 65 patients with deep cerebral hemorrhage who underwent surgical treatment in Department of neurosurgery， from January1，2018 to December31，2022 wereanalyzed retrospectively，and they were divided into conventional groupand minimally invasive group according tosurgical methods.There were 32 patients receivedmultimodal minimally invasive puncture surgery and33patientsreceived conventional craniotomy surgery.Preoperativeand postoperative head computed tomography（CT）examinations were performed to confirm the diagnosis in both groups.Preoperative and postoperative hematoma volume，length of hospital stay，Glasgow outcome scale（GOS）score and national institute of health stroke scale（NIHSS）score of patients 6 months after surgery，and postoperative adverse events were recorded.Hematoma clearance rate，GOS score，NIHSS score 6 months after operation and the incidence of adverse events were compared between the two surgical methods.ResultsThere were no significant diferences in age，gender，blood pressure and underlying diseases between the two groups （ P>0. 05 ）．The NIHSS score difference and hematoma clearance rate of the two groups were statistically significant（ P<0.05 ）．Postoperative adverse events，NIHSS score before surgery，GOS score 6 months after surgery and length of hospital stay were not statistically significant between the two groups （ P>0 .05）．ConclusionsFor thepatients with deep cerebral hematoma，multimodal surgery has more advantages for the improvement of postoperative qualityof lifeand has better hematoma clearance rate.

Key words：multimodal surgery；deep cerebral hematoma；applied effect；prognosis

腦出血是一種高死亡率的卒中亞型（1個(gè)月內(nèi)死亡率約為 40% ），而存活下來的部分患者通常都伴有非常嚴(yán)重的神經(jīng)損傷，在全球范圍內(nèi)每年約有200萬的新發(fā)病例，占所有卒中的 10%～15% ，在亞洲比例約為 20%～30%[1] 由于腦出血量與死亡率和不良功能預(yù)后密切相關(guān)，因此手術(shù)治療腦出血一直是被提倡的方法[2]。（剩余10242字）